VBS REGISTRATION 2025

Child's Name *

First Name

Last Name

Guardian Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Church Home *

Celebrate Church

None

Other

Emergency Contact *

If a parent or guardian can not be reached in an emergency, who should we call?

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Allergies/Health Conditions *

Does this child have any allergies or health conditions that we should be aware of?

No

Yes

Medical Permission *

I give my permission for the VBS staff at Celebrate Church to seek the proper medical attention for my child if he/she should become sick or injured.

Yes

No

Media Permissions *

I consent to the use of photos or video recordings taken of my child during VBS week by Celebrate for promotion including print, video, and web promotion.

Yes

No

Guardian Signature *

By entering my name in the field below and submitting this form, I am giving my child permission to participate in VBS 2025 at Celebrate Church.

First Name

Last Name