PH: 916.786.6857 FAX: 916.786.9384info@gracebibleroseville.com

2018 VBS Registration

Summer Bible Camp, July 23-26, 2018, 6-8 pm

Cost:

$20/child
$35/2 children
$45/family (3 or more)

Basic Information (required):




Parent Information (required):







Emergency Contact Information (required):



Other Information (required):


Optional Information:


Liability Release:

In the event of an emergency, I understand that all will be done to contact me or the emergency contact named above. However, if neither can be reached, I give full permission to a representative of Grace Bible Church to seek medical attention in my absence for the child registered on this form.

I also hereby assume all risk, known or unknown, for the child registered on this form, in connection with their attendance and participation in Vacation Bible School at Grace Bible Church. I acknowledge that participation in Vacation Bible School at Grace Bible Church is voluntary and therefore I FULLY RELEASE and discharge Grace Bible Church, its pastors, employees, directors, and volunteer workers, from any and all liability in connection with any activities carried on at Grace Bible Church in the Vacation Bible School program.

I agree to the above Liability Release and Photography/Video Authorization