VBS 2024: Breaker Rock Beach

Join us July 21st-25th from 6:00-8:30pm as we discover the truth of Gods word in a world of shifting sand. Enrollment is open for children ages 3-completed 5th grade. Please register your child with their CURRENT grade. If you have a student 6th-12th grade and wish for them to serve, please fill out our VBS Serve form!

Upon submitting this form, you will be redirected to an optional giving page towards VBS costs of t-shirts and snacks. A suggested donation of $5 per child can be made! If unable to donate at this time, please exit the following browser window and your submission is still received.

Parent Name

Last Name

Phone Number

Email

Child Name

Last Name

Birthdate

Gender

School They Will be Attending

Allergies/Medical Information

Shirt Size

If anyone else besides yourself will be picking up your child, please list their first and last name below.

If there is a friend/sibling the same grade that your child would like to be in group with, please indicate their name and we will do our best to make it happen!

Is there anything about your child we should know to help make it a successful and fun week for them?

Photo/Video Release Waiver

I authorize the use of photos and videos taken of the above minor to be used in publication, social media posts and display by the staff of Switzerland Community Church.

Photo Release Waiver

Yes

No

Signature

Medical Release Waiver

I authorize for the above child to be treated by a rescue unit in the event of medical emergency. It is understood that this allows advance authority to render care if needed. I hereby release and discharge Switzerland Community Church and all of its Staff and Volunteers for all claims of damage or injury to self or personal property in my child's participation of VBS 2024 Breaker Rock Beach.

Signature

Upon submitting this form, you will be redirected to an optional giving page towards VBS costs of t-shirts and snacks. A suggested donation of $5 per child can be made! If unable to donate at this time, please exit the following browser window and your submission is still received.

I acknowledge that I will not recieve a confirmation email. Please be on the lookout closer to VBS dates for further communication.

Yes

I acknowledge that if I registered my child after July 1st there is NO GUARANTEE that they will recieve a t-shirt. Any extras will be distributed based on time stamped registration after July 1st.

Yes

VBS 2024: Breaker Rock Beach

Photo/Video Release Waiver

Medical Release Waiver

Upon submitting this form, you will be redirected to an optional giving page towards VBS costs of t-shirts and snacks. A suggested donation of $5 per child can be made! If unable to donate at this time, please exit the following browser window and your submission is still received.

God's Truth Never Changes - Romans 12:2 "Do not be conformed to the pattern of this word but be transformed by the renewing of your mind."