VBS 2024 Child Registration Form

June 10-13 from 9 am - 12 pm | Please fill out this form to register your child for Asbury's 2024 VBS - Breaker Rock Beach. Please fill out one form for each child.

Our VBS is June 10-13 from 9 am to 12 pm. Children Pre-K 4 through 6th grades are invited to come to VBS.
Child Information (please fill out one form per child)

 
 
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Parent/Guardian Information

 
 
 
 
 
 
 
Releases

Liability Release


The undersigned parent/legal guardian hereby gives permission to Asbury Methodist Church, for my child (named above) to take part in Vacation Bible School.


Should my child require immediate or emergency medical care while engaged in an activity sponsored by the Church, in my absence, I hereby grant the Church authority to release my child for medical treatment to such medical personnel as the Church determines appropriate under the circumstances.


In consideration for the privilege of allowing my child to participate in the above-named activity, I agree to release and hold harmless the Church, its officers and agents, from any liability to or responsibility for bodily injury, damage or illness to the above-identified child while participating in any youth athletic or social activity which may be directly or indirectly sponsored by the Church. Further, I agree to indemnify and hold harmless the Church, its officers and agents with respect to any claim asserted by or on behalf of my child as a result of bodily injury, illness, or damage.


Media Release


Asbury takes photographs and video during Vacation Bible School, to be used in church print, online, and other media communications. By signing below, you agree to allow the use of your child's image in any and all publications created by Asbury Methodist Church. Asbury will never sell or publish personal information provided by you about your child.

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Description

June 10-13 from 9 am - 12 pm
Please fill out this form to register your child for Asbury's 2024 VBS - Breaker Rock Beach. Please fill out one form for each child.

Our VBS is June 10-13 from 9 am to 12 pm. Children Pre-K 4 through 6th grades are invited to come to VBS.