2026 Rainforest Falls VBS Children's registration

Parent/Guardian's Name

This address will receive a confirmation email

Phone

Address

Child's Name

Childs Age

3 yrs 4 yrs 5 yrs 6 yrs 7 yrs 8 yrs

Child's Birthdate

Last school grade completed

None PreK Kindergarten First gradeSecond grade Second grade Third grade

Allergies/Medical Information we should know:

If your child has special needs, please describe here:

My child would like to be placed in the same Crew as their friend (please, within one grade level). Give name below:

Name and phone of emergency contact if different than parent or guardian listed above:

Name and phone of up to two people other than parent/guardian who are authorized to pick up your child from VBS:

Will you be attending the VBS dinners?

Yes No

If yes, how many will be attending? 1 2 3 4 5 and above

Will your family be attending the Family Party on Friday evening, 6:00 pm?

Yes No

If yes, how many will be participating?

2 3 4 5 and above

If you would like your child to receive a VBS Theme t-shirt, please indicate the size:

Child X-S (2-4) Child Sm (6-8) Child Med (10-12) Child Lg (14-16) Adult Sm (34- 36) None

If you would like the Rainforest Falls VBS music, please indicate the form:

Music CD Music Video Streaming Card None

Would you like to receive regular information about Stonybrook Kids Ministry?

Yes No

Parental Consent I give my permission for my child to participate in Stonybrook Church Children and Family Ministries programming. I understand that photographs and/or video/audio recording made during children's ministry programming may include my child, and I authorize use of such photographs or recordings at the discretion of Stonybrook Church.

Accept Do not accept.

Liability Release & Authorization I certify the information provided is correct to the best of my knowledge. In the event of an emergency, I give permission to the directors of the activity and/or Stonybrook Church to render First Aid, as well as permission to a licensed physician to hospitalize, anesthetize, or perform surgery on the person/s listed. I understand that every reasonable effort will be made to make contact with the prior mentioned emergency contact before these actions are taken. I acknowledge that I am responsible for payment of medical charges or expenses not covered by my insurance or the insurance applicable to my child (if any). I further agree to hold harmless and indemnify the Stonybrook Church staff, volunteers and Stonybrook Church from any and all claims for damages arising out of personal injuries sustained by my son/daughter/ward during any activities while at Stonybrook Church or authorized off property events. I hereby fully and forever release and discharge the Stonybrook Church staff, volunteers and Stonybrook Church from any and all said claims.

2026 Rainforest Falls VBS Children's registration

Description

Please Fix the Following