MAGNIFIED VBS 2025 REGISTRATION
Please fill out this form and click submit.
Child Information
Child's Full Name
*
Date of Birth
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Grade you will enter in the fall:
*
Please select one option.
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Select Option
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Allergies
Medications
Dietary Restrictions
Special Needs
Guardian Information
Guardian Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Emergency Contact (not living in home)
*
Do you currently attend church?
*
Please select all that apply.
Yes
No
If you currently attend church, what is the name of your home church?
Permissions & Acknowledgments
We love taking photographs of the participants during VBS activities. We typically post these on our Rock Church social media pages but do not list the child's name or any personally identifiable information with it. Please indicate if you would allow your child to be in our pictures.
*
Please select all that apply.
Yes
No
Participants will engage in a variety of activities, including games, crafts, and bounce houses. By checking the box, you indicate that you understand and will allow your child to participate.
*
Please select all that apply.
Yes, my child can participate.
Our VBS will take place between 6:00 and 8:00 p.m. every night. Kids may begin entering the building at 5:45 and should be picked up promptly at 8:00 p.m.
*
Please select all that apply.
I acknowledge this time frame and agree to arrange appropriate transportation for drop-off and pickup.
How will your child attend VBS? (Note: If they are walking, you must sign this waiver. If you plan to drop them off, you must follow our check-in/ check-out policy.)
*
Please select all that apply.
I will bring my child and check him/her in each day. I will use the tag given to me at check-in to verify my identity at checkout time.
My child will be walking to and from the church for VBS. I release the Rock Church from any liability that results from this.
Any questions or comments? Ask them here!
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