Campbellford Baptist Church Inc.

Campbellford Baptist Church - VBS 2023

• Child's Name*
  First Name

  Last Name
• Child's Gender*
  >MF
• Date of Birth*
  MM

  /

  DD

  /

  YYYY
• Last School Grade Completed*
  >JKSK123456
• Child's Age*
• Name of Parents*
  First Name

  Last Name
• Street Address*
• City / Town - Prov. - Postal Code*
• Home Phone*
   
• Parent/Caregivers Cell Phone*
   
• Your Email*
   
• Home Church
• SecondaryContact*
  First Name

  Last Name
• Phone Number*
   
• Approval to display/publish photo(s)*
  Yes

  No
• Alergies or other medical conditions*
• In Case of emergency, contact*
  First Name

  Last Name
• Phone*
   
• Relationship to child*
• One friend you would like in your crew if possible
• Crew number or name (Church Use Only)
• Medical Release: The VBS team has my permission to administer basic first aid to my child in the eveny of an injury. I understand that the VBS team will contact emergency services in the event of a signifigant injury.*
  Yes

  No
• COVID protocols
  1. If your child has any Covid symptoms please keep them home.
  2. Hands must be washed or sanatized as they are entering into the church.
  3. Wearing a mask will be optional.
  4. Children will have their own pre-packaged snacks and craft bags.
  5. All tables, chairs and shared materials will bedisinfected at the end of each day.
• Your Message
• Website