Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Name of People Authorized to Pickup Child

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Photo Release

Photos may be taken during (Hope AFLC) including my child on its website, social media or in other church publications.

Release

To the fullest extent permitted by law, I release Hope AFLC, it's trustee's, officers, directors, employees, agents and representatives from any illness, injury, harm, damage or death, which may occur to my minor child while participating in the activity and agree to save and hold harmless Hope AFLC, it's employees, volunteers and representatives from any claims arising out of my minor child's participation in the activity.

General Release

I give my consent for my children to attend meetings, activities and events, both on-site and off-site. I will be provided specific event information in advance of any off-site activity.

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