Open to children Age 4 to 8th Grade

Child's First Name (required)

Child's Last Name (required)

School Grade just completed (required)

Age (required)

Parent or Guardian(s) Name(s) (required)

Your Relationship to the child (parent, grandparent, aunt/uncle, etc.)(required)

Your Email Address (required)

Phone Number (required)

Can this number accept text messages? (required)
 yes no

Address (required)

City, State, Zip (required)

Home Church

Emergency Contact Name (other than Parent/Guardian) (required)

Emergency Contact Phone Number (required)

Any Medical or Other special information we need to know
(allergies, etc.)

Who else may pick up your child from VBS?
Other than parent/guardian
(First and Last name, please)

I give my permission for the VBS staff to administer basic first aid to my child(ren) (named above) in the event of an injury. I understand that the VBS staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me.

I hereby grant the above named church permission to copyright and use photographs/videos taken at VBS of the minor(s) designated above in any manner or form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to which it may be applied.

I give permission for my child(ren) (named above) to attend the Vacation Bible School (VBS) listed above at Sparta First Baptist Church.

 By selecting this box, I grant permission and agree to the above statements.