2024 West Concord VBS Registration Form

Parent/Guardian Information

Parent/Guardian Name

Phone

This address will receive a confirmation email

Emergency Contact (name & phone if different from partent/guardian)

Address

Disclaimers

I give my consent for my child(ren) to have photos and videos taken of them to be used on West Concord's social media accounts during the week of June 9-13, 2024.

Yes No

In the event of an emergency, I understand that all will be done to contact me or the emergency contact named above. However, if neither can be reached, I give full permission to a representative of West Concord Baptist Church to seek medical attention in my absence for the child registered on this form. I also hereby assume all risk, known or unknown, for the child registered on this form, in connection with their attendance and participation in Vacation Bible School at WCBC. I acknowledge that participation in Vacation Bible School is voluntary and therefore I fully release and discharge WCBC, its pastors, employees, directors, and volunteer workers from any and all liability in connection with any activities carried on at West Concord Baptist Church in the Vacation Bible School program. I agree to the above Liability Release.

Yes No

Parent/Guardian Signature

Description

Registering children 4 years old through rising 8th graders for the week of June 9-13 for VBS at West Concord Church at 225 Warren C Coleman Blvd, Concord, NC 28027 (westconcordchurch.com)

Please fill out the form and register each child on the Child Information Form (you'll have to submit for each one) before clicking the yellow "submit" button at the bottom. Thank you!

2024 West Concord VBS Registration Form

Description

Please Fix the Following