2023 VBS Registration - Summer Seaquest!

June 19-23, 10:00am to 1:00pm | Please fill out this form to register your child or children for Westminster Presbyterian Church's Summer Sequest VBS. The week of VBS is for children age 4 through completed 5th grade, and is June 19-23 from 10:00am to 1:00pm (lunch is included).
Contact Information

 
 
 
 
 
 
 
Emergency Contacts (AFTER parents have been tried)

 
 
Children to be Enrolled

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Please select all that apply.
 
Please select one option.
For all volunteers helping during the week of VBS that have children not old enough to participate in VBS (0-3 years) we will offer free childcare/mini-VBS.
 
 
 
 
 
 
 
 
 
Releases

By submitting this form, you consent to the following:

I, the undersigned, as the parent or legal guardian of the named child/children, do hereby give permission for him/her/them to participate in any of the activities conducted by Westminster Children's Ministry.

LIABILITY RELEASE:  I also hereby release, forever discharge and agree to hold harmless the Westminster Presbyterian Church and the Leaders thereof from all liability, claims, or demands for personal injury, sickness, death, damage, and expense because of participation in these activities.  Further, authorization and permission are granted to furnish any necessary transportation, food, and lodging required for the activities.  The undersigned further hereby agrees to hold harmless and indemnify Westminster Presbyterian Church, its directors, employees or agents, for any liability sustained by said church as the result of the negligent, willful or intentional acts of the above-named child/children, including expenses incured attendant thereto.

MEDICAL RELEASE:  I attest that the above-named child/children is/are in good physical condition.  Should any accident or illness occur during any Children's Ministry activity, I will not hold or its directors responsible for medical aid rendered and will reimburse them for the medical and other expenses incured.  The above-named child/children may receive necessary first aid.  He/she/they may receive medical attention by any duly licensed physician and may be admitted into a hospital in case of emergency.

DISASTER PREPAREDNESS:  In case of disaster, my child/children may be released into the care of a parent, legal guardian, or the above listed emergency contact persons.

CONSENT FOR PHOTOGRAPHS & VIDEOS:  I hereby authorize and give full consent, without limitations or reservations, to Westminster PCA to publish any photographs or videos in which the above named child/children, parent(s), or grandparent(s) appear while participating in any progrma with the church.  There will be no compensation for use of any photographs or videos at the time of pulication or in the future.
 
* By entering my name in the box above, I am providing my digital signature on this registration form and consenting to the above releases and policies.
 
 
 
 
 

Description

June 19-23, 10:00am to 1:00pm
Please fill out this form to register your child or children for Westminster Presbyterian Church's Summer Sequest VBS. The week of VBS is for children age 4 through completed 5th grade, and is June 19-23 from 10:00am to 1:00pm (lunch is included).