Vacation Bible School

July 14 through July 18, 9:00 am to 12:00 pm

 

SonTreasure Island is where kids discover God's love! 

Cost: $10 per child or $30 for 3 or more children

 

 

Vacation Bible School Registration Form

Child's Name*


Child's Age*
Child's Birth Date:*
Grade Just Completed*
Parent or Guardian Names*
Home Address*
Home Phone Number*
Work Phone number*
Cell Phone Number
Email Address
 

Photo Release:

I hereby grant St. Edward Church permission to use photos of my child on bulletin boards, posters, flyers or the church website or Facebook page for promotional purposes.



 

Medical Information

Emergency Contact Name:*
Emergency Contact Phone:*
List Allergies:
List Medical Conditions:
List Medications:
Health Insurance Company:
Policy or Group Number
Doctor Name and Phone:
Dentist Name and Phone:
Date of Last Tetanus Shot:
 

Emergency Release:

As the parent or guardian of the child listed on this form, who is a minor, I do hereby authorize volunteers of St. Edward Church as agents for me to consent to any medical or surgical care deemed advisable by any accredited physician or surgeon in any approved emergency clinic or hospital. I further release from any liability St. Edward Church and any of its ministries or leaders in the event of an accident en route, during and returning from the above mentioned event. This agreement does not apply to claims for intentional misconduct or gross negligence.



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