VBS REGISTRATION
JULY 15-17, 2025

Please note that the $10/child payment will be done securely through our Stripe Account by clicking here. If paying for multiple children, click “change amount” and type in the total. Cash or check to Free City Church also accepted on-site. For questions, contact Anna.

Child's Name

First Name

Last Name

Child's Grade

Please list grade that child will be starting in Fall 2025.

Child's Age

Please list age that child will be by July 15.

T-Shirt Size

Parent/Guardian Name

This person will receive all emails related to VBS, be an emergency contact for the child, and also an authorized pick-up person.

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Phone

(###)

###

####

Parent #2 or 2/2 Emergency Contact

Please list a second emergency contact name. This person is also authorized to pick-up your child.

First Name

Last Name

Parent #2 or 2/2 Emergency Contact Phone

(###)

###

####

Please List Any Other Authorized Pick-Up Persons

Please list name, phone number, and relation to the child. (Example: grandma, babysitter)

What School Does Your Child Attend?

Requests or Special Accommodations?

If your child has a close friend signed-up, you can list their name(s) below. We will do our best to assign similar-aged requests to the same small groups, but please note that there are no guarantees. If your child has dietary, mobility, or medical needs, please list them here. All medical needs (including inhaler) must be communicated personally to Anna Wolf prior to the start of VBS.

Home Church

Photo Release

Do you permit the use of photos/videos of your child taken during the hours of VBS to be used for Free City Communications? This includes Free City Facebook/Instagram pages, Free City's website, and email newsletters to parents/church attendees.

Yes

Waiver & Liability Release

I, undersigned parent or guardian of the minor listed above, do hereby give permission for my child to attend Vacation Bible School activities sponsored by Free City Church. I waive any and all rights and claims of any nature I may have against Free City Church Church and any organization connected with any of the events, their representatives, successors, and assigns for any and all injuries or damages of any nature which my child as a result of participation in any event. I will assume all risk of any kind that may befall my child as a result of participation in any event. This waiver and release which includes all claims, demands, costs, losses, damages, attorney's fees and liabilities shall be binding on my heirs, administrations and assigns and run in favor of Free City Church. These authorizations shall remain effective through July 21, 2025.

Medical Release

I, undersigned parent or guardian of the minors listed above, do hereby authorize adult workers with the children of Free City Church to consent to any examination, x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital care which is rendered under supervision of any physician or surgeon licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. Further, as parent or guardian of the minor named above, I do hereby expressly consent that my son/daughter may receive emergency medical treatment from any physician, hospital, or other medical center without the necessity of first notifying me, and do further agree to hold blameless any physician, hospital or other medical center rendering such services.

Waiver & Liability Release Agreement

I have read the parental consent and the waiver & liability release agreement shown above, and understand the terms used and their legal significance. By checking the "I agree" box you are agreeing to the language in the Parental Consent Form listed on this registration.

VOLUNTEER FOR VBS

Help kids discover the bigness of God in the smallest of things by volunteering for Free City Church VBS! We are excited to share that this year we are offering a nursery for volunteer’s children aged 0-3. (Please note: Background Check required). Click the button below to fill out our Volunteer Interest Form.

SUMMER NIGHTS

Our second of three Summer Nights will be hosted in conjunction with VBS. On Thursday, July 17 (the last day of VBS), we will return to Christ Community Church from 6-8pm for a potluck dinner, water inflatables, food trucks, and fun for the whole family! All VBS attendees and their families (children of all ages) are encouraged to join us.

Post-VBS Summer Nights

Name

First Name

Last Name

Phone

(###)

###

####

Who will attend?

Please list the names of who will attend from your family, including ages of children.

Anything else we should know?

Please list dietary or mobility needs below.

LEARN MORE SUMMER NIGHTS + JUNE 12

VBS REGISTRATION
JULY 15-17, 2025

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SUMMER NIGHTS

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VBS REGISTRATIONJULY 15-17, 2025

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VBS REGISTRATION
JULY 15-17, 2025