2025 VBS Registration

If your child would like to participate in Hope Church’s 2025 VBS, please complete the following form.

Child's Name(Required)

First Last

Parent/Guardian Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Child's Birthday(Required)

Gender

School

Last Grade Completed(Required)

Child's T-Shirt Size(Required)

Allergies, Medical, & Special Needs

Emergency Contact Name (1)(Required)

Emergency Contact Phone (1)(Required)

Emergency Contact Name (2)(Required)

Emergency Contact Phone (2)(Required)

Authorized Pickup #1(Required)

Authorized Pickup #2

Are you a member of this church?

Yes

Do you attend church?

Yes

If so, where?

Guest of:

Media Consent and Release(Required)

I accept

I do not accept

I hereby grant permission to Hope Church to use my image and/or voice on its website or in other printed publications, and social media without further consideration, and I acknowledge Hope Church, its agents, and local press have the right to crop or treat the photograph, video, or audio recording at their own discretion. I also acknowledge that Hope Church and its agents may choose not to use the media at this time, but may do so at their own discretion at a later date. I also understand that once my image or voice is posted on the internet, the media can be downloaded. Therefore, I agree to indemnify and hold harmless from any claims the following: Hope Church, its agents and assigns; Hope Church’s directors and officers and volunteers; all members of Hope Church; and all employees of Hope Church. Hope Church reserves the right to discontinue use of photos, videos and/or audio recordings without notice.

How did you hear about Hope Church?(Required)

Comments

Online registration for this event may only be completed by an adult eighteen years old or older. The registration of a child under thirteen years old must be completed by that child's parent or legal guardian.(Required)

I agree