VBS - River of Life Worship Center

Parent/Guardian Name*

First Last

Please list all names of children with their ages and completed grade level [1 per line]*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Home Church

Please list all allergies and medical information:*

Please list 2 emergency contacts with their phone number:*

How did you hear about VBS?

Medical Waiver*

I give permission for my child to participate in classes and/or activities at River of Life Worship Center. I authorize the volunteers and staff to administer emergency medical first aid treatment, or to call for emergency medical response. (If no, parent will be required to stay with child at all times)

Yes
No

Media Release*

I give permission for my child's photograph/video to be used on the River of Life Worship Center's website and other social media outlets.

Yes
No

Transportation*

Does your child need transportation VBS?

Yes
No

Waiver for Bus Transportation*

All drivers of minors for church events have undergone a criminal background check and a driving background check. Student must be 8 years of age or older to be eligible to be transported by the church motor vehicle. If I have checked the box below to request church transportation, my signature below gives my permission for all the children listed above to ride the van or other vehicle(s) used for church functions. I understand that my children will be under adult supervision. I further understand that in signing this form, I release and hold harmless River of Life Worship Center its trustees, employees, and any volunteers from any liability, past or future, fully and completely. I give permission for my child to participate in classes and/or activities at River of Life Worship Center. I authorize the volunteers and staff to administer emergency medical first aid treatment, or to call for emergency medical response if I cannot be reached.

Yes
No

CAPTCHA

VBS 2023