K-5th Grade

2019 VBS Kindergarten - 5th Grade REGISTRATION
JUNE 24 - June 28 | 9am-12pm

Welcome to ROAR!
We are excited to journey with your students to discover great and awesome truths about our great and awesome God!!

* Indicates required field

Parent/Guardian Name *

First

Last

Cell Phone Number (Best Number During VBS) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

k-5th Student 1

Child 1 *

First

Last

Age *

What grade will your child have completed prior to the summer ending? *

Medical/Allergy Info (Please put "None" if there is no information) *

K-5TH Student 2

Child 2 *

First

Last

Age *

Medical/Allergy Info (Please put "None" if there is no information) *

What grade will your child have completed prior to the summer ending? *

K-5TH Student 3

Child 3 *

First

Last

Age *

What grade will your child have completed prior to the summer ending? *

Medical/Allergy Info (Please put "None" if there is no information) *

K-5TH Student 4

Child 4 *

First

Last

Age *

Medical/Allergy Info (Please put "None" if there is no information) *

What grade will your child have completed prior to the summer ending? *

Release Permissions:

Please list in the box below 3-4 extra adults (18 years +) that are approved to pick up your child(ren).
You do NOT need to rewrite the name at the top of this form. That person is already approved.
If you do not wish to authorize anyone else please indicate that in the box by typing "none".

Official Approved List *

I fully understand that National Hills Baptist Church will only release the child(ren) named on this form to the person listed at the top of this form or to any adult (18+) listed in the above box. *

I agree

Important Notice to Parents:

For the safety of your child(ren) all of our workers (18+) have had to submit a background check before they can work in any ministry with children or youth. For this reason we cannot allow parents to stay with their children during VBS. We understand that there might be extenuating circumstances, such as: Physical Disabilities, Cognitive Impairments, Visual Impairments, Deafness, etc, and you may NEED to accompany your student. If your child has a medical condition that requires you to stay with them please indicate so in the respective "Medical/Allergy Info" box. *

I have read and agree to the above

I certify that all of the information above is to the best of my knowledge and belief true, correct and complete. Please indicate so by your initials. *

2019 VBS Kindergarten - 5th Grade REGISTRATIONJUNE 24 - June 28 | 9am-12pm

k-5th Student 1

K-5TH Student 2

K-5TH Student 3

K-5TH Student 4

Release Permissions:

Important Notice to Parents:

2019 VBS Kindergarten - 5th Grade REGISTRATION
JUNE 24 - June 28 | 9am-12pm