VBS registration

Use this convenient form to register your child for Vacation Bible School! (Use one form PER CHILD)

* Required Fields

*Child's Name (first and last):
*Child's Age:
*Child's Grade (last grade completed)?:
*Parent(s)/Guardian Name(s):
*Parent(s)/Guardian Phone # (xxx-xxx-xxxx):
Parent email:
*Emergency contact name:
*Emergency contact phone # (xxx-xxx-xxxx):
*Child street address:
*Child city/state/zip:
Church currently attending (if any):
Allergies (if any):
Medication(s) we should know about:
Medical conditions or other info we need to know:
Please contact me, I have other info and/or questions:
Your typed signature below indicates that you grant permission for First Baptist Church, Wellsboro to publish photos, videos, or voice recordings of your child taken in relationship to the activities of this children's ministry for promotional and/or informational purposes only.
SPECIAL COVID-19 STATEMENT - PLEASE NOTE THE FOLLOWING:
We plan to take the following action to make the Vacation Bible School (VBS) environment safer for participants but WE CANNOT GUARANTEE complete safety or prevention of virus transmission. Your typed signature below is your acknowledgement that you a) understand the measure we plan to implement, b) acknowledge that this measure may be insufficient to prevent transmission of the coronavirus, c) consent to have your child participate in First Baptist Church's VBS, and d) that you will hold harmless First Baptist Church, it's officers, employees, and volunteers in the unfortunate event that your child(ren) contract COVID-19 and develop any of its complications. Further, you agree that if a child or ANYONE ELSE in your household is symptomatic of COVID-19 (e.g. fever/chills, cough, trouble breathing/shortness of breath, loss of taste or smell), you will keep ALL children from your household home and not bring them to VBS for the remainder of the week.
Action: First Baptist Church plans to make hand sanitizer available and encourage its use when children arrive and before snacks.
After you hit "SEND", in a few minutes you should receive a confirmation email at the email address you've given on this form.
*By typing my FULL NAME in the adjacent box I certify that I am the parent or legal guardian of the child being registered, that I have the legal authority to sign this document, and have read and consent to the publishing of photos, videos, or voice recordings of my child, as well as all of the above COVID information, and agree to have my child(ren) participate in First Baptist Church's Vacation Bible School.:
*Authentication:
*8 + 2 =	Enter the correct answer to the math question.
Please click the Send button only once.