Armor of God - Vacation Bible School, June 26-29

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Monday - Thursday, June 26-29, 5:45- 8:30 pm. VBS programming for ages: Toddler - 8th grade (completed) & adults.

Learn more about how to be part of God’s kingdom through salvation in his Son and to be equipped with the Armor of God to become Keepers of the Kingdom who stand strong in today’s battle for truth.

Childs Name

Last year completed in school

Parent's Name

Person Responsible for child (other than parent) during VBS

Phone

This address will receive a confirmation email

Address

Will you be attending Dinner?

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Yes No

Number attending dinner

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1 2 3 4 5 6

Medical and Emergency Health Care Information

Does the participant have food allergies?

Please select all that apply.

Yes No

List Allergies

Does participant have physical, mental or medical issues that the staff should be aware of?

Please select all that apply.

Yes No

Please describe what we should be aware of

I understand that safety precautions will be taken by the church and its agents during this event. However, I understand that the possibility of injuries, unforeseen hazards and inherent risk exists. I agree not to hold the church, its employees, members and volunteers liable for and I release them from any damage, losses, diseases, or injuries incurred by the participant

Please select one option.

I agree I disagree

Name of Insurance Carrier

Insurance Group Number

Insurance Policy Number

Emergency Health Care

I authorize any emergency healthcare or treatment for my child, youth or vulnerable person that is deemed necessary by the Aldersgate VBS Event Coordinator. A prompt call will be made to the emergency contact numbers provided below

Please select one option.

Yes No

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Relationship

Photo Release

I give permission for photographs, video and/or audio recordings to be used for publicity, including the internet for Aldersgate Church Ministries

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Yes No

Description

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Armor of God - Vacation Bible School, June 26-29

Description

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