VBS THEME: Hooked

Jesus called out to them, “Come, follow me, and I will show you how to fish for people!” - Matthew 4:19

VBS @ CBC

WHEN: July 6-10, 2025
WHERE: Christ Baptist Church

Join us on Wednesday, July 15, for VBS at the Burlington Quaker Meeting House from 3 pm to 7 pm.

Parent/Guardian Information

Authorized to pick up child from VBS

Parent/Guardian Name *

First

Last

Parent/Guardian Number *

Parent/Guardian Address *

Address Line 1

Address Line 2

City

State

Zip Code

How many children are you registering? *

Register Dates (Please select the dates your child will be attending.) *

Child's Information & Medical Information

Name *

First

Last

Date of Birth *

Grade *

Gender *

Age Group *

Medical conditions? *

Does your child have any known allergies? *

If Yes, please list known allergies.

Does your child need assistance to participate in VBS? *

We invite and welcome people of all abilities to participate in our programs. If you or your child needs assistance to participate, please let us know at the time of registration or at least 2 weeks prior to the start of VBS.

Current Medications (if applicable)

Special Instructions

Authorization For Emergency Care *

I understand that I will be notified at once in case of illness or accident involving my child, and I will make arrangements for medical care of my child with the physicians or hospital of my choice. If I cannot be reached to make neccessary arrangements or in a critical emergency requiring medicial treatment, I hereby authorize Christ Baptist Church/ Vacation Bible School to contact Emergency Medicial Services for transport to an emergency care facility. I understand that emergency personnel may choose to contact my child's physician listed below:

Emergency Contact Information

Physician Name *

Phone Number *

Email *

Parent/Legal Guardian Name *

Primary Phone Number *

Relationship to Child

select Parent/Guardian Name

Consent, Agreement & Authorization

Sunscreen Permission *

The Department of Human Services prohibits Christ Baptist Church/ Vacation Bible School staff from applying sunscreen to children without a parent's or doctor's approval. Therefore, please apply waterproof sunscreen to your child before Vacation Bible School. If you have a preferred sunscreen, please send it with your child, as the staff will remind children to apply.

Waiver and Release of Liability *

My family and I hereby waive and release the Christ Baptist Church, its Pastor, officers, employees, volunteers, or other representatives from all claims for damages and/ or injuries incurred while participating in or as a spectator at a Christ Baptist Church/ Vacation Bible School sponsored activity. I have read and understand the registration policies. Registration is invalid without signature.

Photo Release *

I also agree, as a participant or a parent of a minor participant, to grant full permission to Christ Baptist Church/ Vacation Bible School to use my child's photograph, videotape or recording for promotional purposes without obligation or liability to me or my family.

Electronic Signature: PRINT NAME BELOW to sign release *

VBS 2026 – Hooked

VBS THEME: Hooked

VBS @ CBC

WHEN: July 6-10, 2025
WHERE: Christ Baptist Church

Parent/Guardian Information

Child's Information & Medical Information

Emergency Contact Information

Consent, Agreement & Authorization

Details

Organizer

Venue

VBS 2026 – Hooked

VBS THEME: Hooked

VBS @ CBC

WHEN: July 6-10, 2025 WHERE: Christ Baptist Church

Parent/Guardian Information

Child's Information & Medical Information

Emergency Contact Information

Consent, Agreement & Authorization

Details

Organizer

Venue

Related Events

Fuel for Courage

Fuel for Courage

Nursing Home Ministries (Third Sunday)

WHEN: July 6-10, 2025
WHERE: Christ Baptist Church