2010 Vacation Bible School

Registration Form for

High Seas Expedition

2010 Vacation Bible School

July 12 – 16         9 a.m. – 12 p.m.

Ages 4-12

Second Baptist Church

100 North Main Street, Suffield, CT

860-668-1661

Fill out and return this form to the church office. Thanks!

Climb Aboard for a Voyage of a Lifetime…

The cost will be $30 a child or $50.00 for the whole family. Checks can be made out to SBC /VBS

For more information contact: Chris Davies 860-668-7223 or Sue Begin 860-668-1661.

 

NAME_____________________________         Age  _______       Grade ('10-'11 school year) ________

PARENT'S NAME_______________________________

Address  _____________________________________________________________________________          

Home Phone # ______________            Cell Phone # ____________               Work Phone # __________

E-Mail Address for further promotion of Children’s Events: _______________________________________

We know this a great opportunity not only for the children that attend but for the Mom or Dad who gets a little break too. If you can help out for just one morning it would be great.

• I can help out on____________ with the snack room.
• I can help out by providing snack one day.
• I can help with clean up on Friday afternoon.
• I can help Thursday night for the Open House.
• I can provide ice cream cups for Thursday night’s Open House.

VBS 2010 Medical and Photography Permission Form

Please read and complete the following information for each child you have attending Vacation Bible School.

 

Child’s Name: _________________________________________

Medical Insurance Information

 

Medical Insurance:    YES____ NO____

Insurance Company: _____________________________________________________________________

Policy/Group ID#:_______________________________________________________________________

Medical Treatment Permission

            We (I) authorize an adult, in whose care the minor has been entrusted, to consent to any emergency x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital or emergency care facility.

            The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child or youth pursuant to this authorization.

Permission to Use Photographs:

I give my permission for my child to be photographed and allow First Church of Christ and Second Baptist to use said pictures for a VBS production..

YES ____ NO ____

Parent/Guardian Signatures

 

Signature: _______________________________________________________       Date: ________________

 

*** Allergies we should know about _________________________________________________________

Food Allergies___________________________________________________________________________

Emergency Telephone Number where you can be reached in an emergency.

______________________________________________________________________________________

Emergency Contact & telephone number. This person will be called if we can not reach you.

_____________________________________________#   _____________________________­­­­__

 

 

Volunteer Registration Form

 

 

 

7^th graders to Grandparents, you're needed as leaders for music, crafts, snacks, recreation, drama, theme presenters & counselors. People interested and willing to be a part of this wonderful experience - please fill out and return the form to Chris Davies or Sue Begin!  You can also drop off your form at one of the Church Offices.

 

 

ADULT/Youth Volunteer

 

 

NAME___________________________________________________________________________________

Age  ___________________________                           Grade ('10-'11 school year) ______________________

Address  __________________________________________________________________________________

Home Phone # ______________                               Cell Phone # ____________              

E-Mail Address:  ___________________________________________________________________________

PARENT'S NAME (if applicable)______________________________________________ ______________

Home Phone # ______________            Cell Phone # ____________               Work Phone # __________

                                      Come on, we need you!