Vacation Bible School Registration 2025

Midway Presbyterian Church

June 2-6 from 9:30 a.m. - 12:00 p.m. Pre-registration closes on Sunday, May 30.

Parent/Guardian Information

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Member of Midway

Yes

No

If No, please indicate of whom your child is a guest (if applicable):

Child Information

Child must have turned age 4 not later than 12/31/2024 (DOB must be before 01/01/2022)

First Name

Last Name

Birthdate

Grade Completed

Does your child have food allergies?

No

Yes

If Yes, please list food allergies.

T-shirt size (if available)?

Please list up to 3 individuals, other than yourself, that are allowed to pick up your child(ren).

First Pickup Individual

Second Pickup Individual

Third Pickup Individual

Below, please briefly list any medical issues, physical limitations, disabilities, special needs, etc., that will impact your child’s time at VBS, so that we can properly accommodate your child’s needs during their time at VBS

Emergency Contact (one individual)

Full Name

Phone Number

Consent and Liability

During their time at VBS, the children may be taken to various locations on the Church premises for a variety of activities, including group assembly, teaching, singing, crafts, snacks, and recreation. At all times, the children will be under adult supervision while participating in VBS activities. The undersigned parent/guardian (“parent”) consents to full participation by his or her child in VBS activities, subject only to any restrictions or conditions declared by the parent in the VBS registration form. The undersigned parent agrees not to make any claim for damages or personal injury to their child incurred in the normal participation of the child in VBS activities, provided appropriate adult supervision is provided.

Further, the undersigned parent gives permission to photograph my child and use his or her picture(s) solely for the church’s publications. Midway Presbyterian Church will never publish a child’s name in any of its publications.

By submitting this form, you indicate your acceptance of the "Consent and Liability" stated above.