VBS: Children's Pre-Registration 2025

Thank you for registering your child/ children for VBS on June 9-13th! We will have fun as we learn about Joseph from the Pit to the Palace!

Parent First Name

Last Name

Your relationship to Christ Covenant Church:

Member

Regular Attender

New Visitor

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Authorized pick up persons:

Unauthorized pick up person:

Do we have permission to take photos/ video for our church's social media and slide shows?

Photo Release

yes

no

I understand that, in the event medical treatment is required, every effort will be made to contact parent or guardians listed. However, if I cannot be reached, I give permission to adults in charge to secure the services of a licensed physician to provide the care necessary for my child's well being.

I, the parent or legal guardian, of the child/ children listed below, also release Christ Covenant Church, Hernando, and any adults in charge from any and all claims resulting in injury or damage that may be sustained by my child's involvement while participating in VBS.

Medical Release

yes

Child's First Name

Last Name

Child's Birthdate

Gender

Male

Female

Special Needs, Allergies, Medical information

Thank you for registering your child/ children!