Home Phone Number
Cell Phone Number
Mother's First and Last Name
Father's First and Last Name
Please let us know of any allergies or other medical concerns
Is your tetanus shot up to date?
I give permission for my child to receive emergency medical treatment while under the supervision of the VBS staff at Faith Lutheran Brethren Church
If your child is having an allergic reaction, can our adult staff give your child an age appropriate dose of Benedryl?
Emergency Contact Name
In the event of an emergency, we will contact parents first. In the event that we cannot reach either parent, please provide an additional contact
Emergency Contact Cell Phone Number
Emergency Contact Home Phone Number
Relation to emergency contact?
Staff Kick Off, August 4th
Our Staff Kick Off is mandatory for all to attend
First Choice to Help
Second Choice to Help
Third Choice to Help
Will you be attending the evening Teen Program
*Please note you do NOT need to register for the Teen Program if you are on staff!!!
Will you be able to attend our Closing Program, Friday night, to assist with the children?
Do you have your own Bible
Will you be using your time on staff for community service hours?
*We will sign off on 20 hours for VBS
I give permission for photos containing my child to be used in the closing program slideshow and the Sunday morning recap video.
Please be in prayer for VBS. Pray for your heart to be ready to serve these kids and serve each other. Pray that the love that Christ gives to us will show through your words and actions the week of VBS and beyond.
I commit to put the children first the week of VBS. I will do my best to serve them and love them. I will be willing to help in any way needed to make VBS a fun, safe and memorable week for these children.