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VBS Registration Form
June 13th - June 16th | 5:30 - 8:00 PM | Dinner and Snack Provided
Parent Personal Information
Parent First Name
Parent Last Name
Address
City
State
Zip Code
Email
Cell Phone Number
Other Phone Number
Student Personal Information
Student First Name
Student Last Name
Age
Grade Beginning Fall of 2022
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
Gender
Female
Male
Student Allergies
Student Medical Issues or Special Needs
Other Information
Home Church (if Applicable)
Emergency Contact
Contact First Name
Contact Last Name
Phone Number
Alternative Phone Number
Alternate Pickup First Name
Alternate Pickup Last Name
Alternate Pickup Phone Number
Alternate Pickup First Name
Alternate Pickup Last Name
Do you have any questions regarding VBS?
Medical Release
I give my permission for the VBS staff to administer basic first aid to my child (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 Consent
Permission to Attend
I give permission for my child (named above) to attend the Vacation Bible School (VBS) listed above. I understand that the information I give for this registration will only be used by the VBS hosting church, and that all registration information will be removed from the hosting site by the end of this calendar year.
I Consent
Photo Copyright Release
I hereby grant First Church OKC permission to copyright and use photographs/videos taken at VBS of the minor 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 there-with, or the use to which it may be applied.
I Consent
Submit
