VBS Child Registration

Backyard FOCUS VBS 2020 is July 27-31 from 9:00 am to 11:00 am

Register up to 3 children at once for VBS. To register more than three children, simply revisit this page to submit additional registrations.

Please use a new registration form if any of the Parent/Guardian Information changes per child.

* = Required information

Child Information

1ST CHILD *

Child's Name: *


Age: *


Last Grade Completed: *
  
  

Friend would like to be with:



T-shirt:
If you would like to purchase a FOCUS VBS t-shirt, please send $10 to SWC office by July 19th.

Youth T-shirt Size:
    

Adult T-shirt Size:
    

Allergies or medical conditions:
Please use the space provided to describe any allergies or medical conditions your child/children have that we need to be aware of.

2ND CHILD

Child's Name:


Age:


Last Grade Completed:
  
  

Friend would like to be with:



T-shirt:
If you would like to purchase a FOCUS VBS t-shirt, please send $10 to SWC office by July 19th.

Youth T-shirt Size:
    

Adult T-shirt Size:
    

Allergies or medical conditions:
Please use the space provided to describe any allergies or medical conditions your child/children have that we need to be aware of.

3RD CHILD

Child's Name:


Age:


Last Grade Completed:
  
  

Friend would like to be with:



T-shirt:
If you would like to purchase a FOCUS VBS youth t-shirt, please send $10 to SWC office by July 19th.

Youth T-shirt Size:
    

Adult T-shirt Size:
    

Allergies or medical conditions:
Please use the space provided to describe any allergies or medical conditions your child/children have that we need to be aware of.

Parent/Guardian Information

Parent/Guardian Name:*
Address:*
City:*
State:*
Zip:*
Email Address:
Phone #:*
   
Emergency Contact Name:*
Emergency Contact Phone #:*
   
Home Church:
   
Comments/Additional Information:
Initial to give permission to send messages via Remind.
Initial to give permission to take and post photos..

I authorize Spooner Wesleyan Church personnel to call for medical care for the minor(s) listed below or to transport the minor to a medical facility or hospital if, in the opinion of such personnel, the minor needs immediate medical attention. I further authorize appropriate personnel to render such medical treatment as is necessary for the health of the minor, in their professional opinion. I agree to pay all costs associated with such medical care and transportation.

Also, by participating in programs, services, and activities of Spooner Wesleyan Church, you agree to the following: On behalf yourself and your children, you hereby release, covenant not to sue, discharge, and hold harmless Spooner Wesleyan Church, its employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in our programs, services or activities. You understand and agree that this release includes any claims based on the actions, omissions, or negligence of this church, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any church hosted or programmed event.

Full Parent Name:
Date: