2023 Vacation Bible School-Ridgeline Community Church

August 7-10 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

Allergies? If none indicate n/a

Medical Concerns? If none indicate n/a

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

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

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

Description

August 7-10 9-11:30am

Please fill out this form and click submit. You will need to fill one out for each one of your children.

2023 Vacation Bible School-Ridgeline Community Church

Description

Please Fix the Following