2026 VBS Registration and Consent

Your name (First and Last)

Your Phone Number

Emergency Contact Back Up Number:

Address

Name(s) of Child/Children (First and Last)

Phone Number for Child/ Children (If Applicable):

Please list any allergies your child/children have:

Please list any physical restrictions your child may have in regards to games or sports:

I hereby give my child/children permission to be photographed for the intended purpose of promoting VBS and/or First Baptist Church.

I hereby give my child/children permission to attend 2026 VBS according to the CONSENT TERMS AND CONDITIONS linked below.

Signature

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Confirm with your initials

FIRST baptist Church
of Searles Valley