2024 Vacation Bible School Registration — Kirkpatrick Church of Christ

“POWER UP FOR JESUS” Vacation Bible School Registration Form and Release Form

First & Last Name of Child

DOB / Grade Last Completed

Address of Child

Parents or Guardian of Child

First Name

Last Name

.Contact Phone

(###)

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Emergency Contact Name and Phone Number

(If different than Paren.ty or Guardian, Listed above)

(###)

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Allergies:

Special Needs

Please read the following : During Kirkpatrick Church of Christ “POWER UP FOR JESUS"” Vacation Bible School 2024 - June 2nd - 3rd - 4th, your child will be offered the opportunity to participate in a light dinner, Biblical singing, short Bible stories, making of small age-appropriate crafts, outdoor & indoor physical activities. During their stay at Vacation Bible School, the children will be offered adult supervision during all activities listed above. Special needs & allergies of your child need to be listed and verbally confirmed with registration personnel Your child has the right to not participate in the activities. Your child has the responsibility to act respectfully to the staff and other children participating in the Vacation Bible School and act within the guidelines of behavior established by the staff members and Church. If your child would become disrespectful or misbehaves at any time, injured, or desire to no longer participate in the activities, you as the parent or guardian will be contacted immediately, informed of the situation, and asked to return to the church site to pick up your child. Once again, thank you for allowing us the opportunity to offer your children a fun, safe, and friendly learning & engaging environment. Thanks & God Bless, 2023 Vacation Bible School Staff, Director, and Elders of Kirkpatrick Church of Christ

After reading the above paragraph, please sign at the line below indicating you are aware of activities your child will be completing & participating in and agree with the responsibility/guidelines listed above. Signature: Date: