VBS 2024 Hometown Nazareth

CALLING ALL KIDS PRE K- 6TH GRADE

Step 1 of 5

Thank you for your interest in registering for "Hometown Nazareth" VBS

Please fill out this form to register your children. It should take between 2-5 minutes per child.

HOMETOWN NAZARETH VBS Dates:

Sunday - Thursday, July 7th- 11th
6:00-8:35pm

Trinity Christian Chapel
269 Greentree Rd, Sewell
Ages PreK - 6th Grade

Family Information

Parent Name(Required)
First Last

Parent/Caregiver Has A(Required)

Home Phone

Cell Phone(Required)

Parent Email

Address(Required)
Street Address Address Line 2 City State ZIP Code

Home Church

WAIVER OF LIABILITY & PHOTO RELEASE CONSENT
We understand the arrangement and believe that the necessary precautions and plans for the care and supervision of the child will be taken during their participation in Trinity Christian Chapel programs and/or trips. Beyond this, we will not hold responsible Trinity Christian Chapel or the person supervising the program and/or trip.

In case of emergency, I understand that every effort will be made to contact me. If I cannot be reached, I hereby give the Children’s leadership, staff, or other emergency medical personnel the permission to act on my behalf in seeking emergency medical treatment for this child in the event that such treatment is deemed necessary by the volunteer, leadership, or church staff. I give permission to those administering emergency medical treatment to do so using those measures deemed necessary. I absolve Trinity Christian Chapel, and/or church personnel from Liability in acting on my behalf in this regard so long as they are not grossly negligent.

I, as a parent or guardian of a child participating in Children’s Ministry programs at Trinity Christian Chapel, Sewell, NJ, accept the responsibility for all expenses arising from medical care for injuries to my children while participating in these activities.

Your child/children may be photographed or filmed while participating at Trinity Christian Chapel. Their photo may be used for promoting or sharing activities from Children’s Ministry or church related events, in printed materials and/or electronically on the Internet.

Parent’s or Guardian’s typed signature below indicates acceptance of these policies:
Date
MM slash DD slash YYYY

Emergency Contact, Relationship to Child, Phone #

First Child's Information
First Child's Name(Required)
First Last
First Child's Age(Required)
First Child's Date Of Birth(Required)
MM slash DD slash YYYY

Current School Grade(Required)
What allergies or medical needs should we be aware of for this child?(Required)
Please explain or write "None"
In case of emergency, we will contact the cell phone number listed for the parent/caregiver. If no cell phone number is listed, we will contact the home phone number listed for the parent/caregiver.
Would you like to register a second child at this time?(Required)

Yes

No

Second Child's Information
Second Child's Name(Required)
First Last
Second Child's Age(Required)
Second Child's Date Of Birth(Required)
MM slash DD slash YYYY

Current School Grade(Required)
What allergies or medical needs should we be aware of for this child?(Required)
Please explain or write "None"
In case of emergency, we will contact the cell phone number listed for the parent/caregiver. If no cell phone number is listed, we will contact the home phone number listed for the parent/caregiver.
Would you like to register a third child at this time?(Required)

Yes

No

Third Child's Name(Required)
First Last
Third Child's Age(Required)
Third Child's Date Of Birth(Required)
MM slash DD slash YYYY

Current School Grade(Required)
What allergies or medical needs should we be aware of for this child?(Required)
Please explain or write "None"
In case of emergency, we will contact the cell phone number listed for the parent/caregiver. If no cell phone number is listed, we will contact the home phone number listed for the parent/caregiver.