New Faith Church

DIRECTIONS: A registration form should be completed for each person that will attend VBS.

Child Participant's Name*

DOB*

Sex*

M
F

Grade Completed*

Allergies / Medical Conditions*

Parents / Guardians' Name (s)*

Contact Number*

Email Address*

Emergency Contact

Name*

Phone*

Is Participant a member of New Faith?*

Has child been baptized?*

NOTE: All Nursery (8 months) - 5th Grade Students must be signed in by an Adult each night.

Adult Participant's Name

Phone

Email

Allergies / Medical Conditions

Are you a member of New Faith?

I understand that reasonable precautions will be taken to safeguard the health and well being of the participants in this VBS Program and that I will be notified as soon as possible in the event of an emergency. In the case of sickness or an accident, I authorize and consent the VBS Team or other New Faith Church staff members to obtain medical care from a City of Houston medical service, hospital, or medical clinic for my son/daughter in the event that myself or other legal guardian(s) cannot be reached. I hereby do release and forever discharge New Faith Church from all manners of actions, claims, which I or the child named above shall or may have for any reason, arising during my child’s attendance during the VBS program.

I Agree

Full Name*

Type in your full name to agree online to the above guidelines.

2018 Vacation Bible School

Emergency Contact