VBS Registration – Neapolis Church of Christ

Join us for Vacation Bible School
June 5-9 at Neapolis Church of Christ
6:30-8:00pm
Ages 4 – 12

Vacation Bible School is coming! June 5-9 from 6:30-8pm. Join us each night for a “Royally Fun Time” of learning about the Armor of God.

Child’s Name *

First

Last

Required

Allergy(s) &/or Medical Condition *

Required

Email *

Required

Mother’s Name & phone *

Required

Father’s Name & phone *

Required

Emergency contact Name & phone *

Required

Who is authorized to pick up your child at dismissal? *

Required

I grant permission (check each box)

Authorization to publish pictures(without names)on website and other publications
In the event of illness or accident, I give permission for first aid to be administered where considered necessary by a person trained in first aid, if available, or medical treatment to be administered by a suitably qualified medical practitioner. I agree that neither Neapolis Church of Christ nor its volunteers assume any legal liability for injuries or other losses.
If I cannot be contacted and my child should require emergency hospital treatment, I authorize an adult leader to sign on my behalf any written form of consent required by the hospital. I understand that every effort will be made to contact me as soon as possible. I, the parent, assume all financial responsibility.

Phone