2024 Vacation Bible School-Ridgeline Community Church
July 15-18th 9-11:30am | Please fill out this form and click submit. You will need to fill one out for each one of your children.
Child's Name
*
What is your Child's Gender?
*
Please select one option.
Male
Female
Most Recent Grade Completed
*
Please select one option.
Preschool
Pre-K
K
1st
2nd
3rd
4th
5th
6th
Select Option
Preschool
Pre-K
K
1st
2nd
3rd
4th
5th
6th
Allergies? If none indicate n/a
*
Medical Concerns? If none indicate n/a
*
Email
*
This address will receive a confirmation email
Parent/Guardian Name(s)
*
Phone Number(s) Please label numbers e.g.
*
Emergency Contact Name(s) and Phone Number(s)
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Who may pick up your child(ren) at the end of VBS day?
*
How did you hear about our VBS?
Please select one option.
Friend
Online
Street Signs
I attend church here
Select Option
Friend
Online
Street Signs
I attend church here
If you are a volunteer for VBS, will you need childcare for any children too young for VBS while you volunteer?
Please select one option.
Yes
No
If you answered yes to the above question...please list below the names and ages of the children as well as any allergies or medical needs
I hereby consent to authorize the adult volunteers of Ridgeline Community Church as agents for the undersigned, to consent to any medical or surgical care deemed advisable by any accredited physician or surgeon in an approved emergency clinic or hospital
*
Please select one option.
Agree
Disagree
I further release from any liability Ridgeline Community Church and any of its ministries or leaders in the event of an accident en route, during and returning from Vacation Bible School
*
Please select one option.
Agree
Disagree
I hereby grant or do not grant permission for Ridgeline Community Church to use pictures/videos of my child(ren) on their website for promotional usage and for use in church worship services
*
Please select one option.
Permission Granted
Permission Denied
Submit
Description
July 15-18th 9-11:30am
Please fill out this form and click submit. You will need to fill one out for each one of your children.
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