Created! Discovering God’s Amazing World Kids Summer Camp (VBS) Registration

Child Information

Please complete one form for each child.

Child's Name

Grade completed (2025-26 school year)

Birthdate

Shirt Size

1st Parent/Guardian Info

Primary Contact Name

Primary Contact Cell

Primary Contact Email

This address will receive a confirmation email

Address

2nd Parent/Guardian Info

Secondary Contact Name

Secondary Contact Cell

Secondary Contact Email

Medical & Safety Information

Does your child have any allergies? (Please list)

Does your child have any medical conditions we should be aware of? (Please list)

Is your child currently taking any medications? (Please list)

Is there anything else we should know to help your child have a safe and great week?

Food and Lunch

Drinks: Water will be provided each day

Snacks may be provided throughout the day (such as pretzels, Goldfish, applesauce pouches, etc.)

WEEKLY LUNCH MENU

Monday
Hot Dogs
Chips
Apples
Cookies

Tuesday
Mac & Cheese
Carrots
Oranges
Yogurt
Cookies

Wednesday
Chicken Nuggets
Fries
Cheese Sticks
Bananas
Cookies

Thursday
Sandwiches (Turkey or Ham)
Chips
Cheese stick
Assorted Leftover Fruit
Cookies

Friday
Pizza
Fresh Veggies
Yogurt
Popsicles

Does your child have any food allergies or dietary restrictions? (Please list)

Do we have your permission to provide lunch and snacks as listed on the VBS menu?

Yes No

If, 'no' then please explain.

Pick-Up Authorization

Who is authorized to pick up your child? (Please list all)

Consent and Medical Authorization

I, the undersigned, being the parent or legal guardian of the child named on this online form, do hereby consent to the participation of my child in Created! Kids Summer Camp at Skiff Lake Bible Church.

Yes

Medical Authorization: I understand that I will be notified in the case of a medical emergency. However, in the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event that one or more of my children are injured or become ill. I authorize a representative of Skiff Lake Bible Church to make emergency medical care decisions on behalf of my child/ren, if required by law or a health care provider: I authorize these persons to act in my place to consent to all necessary and appropriate x-ray examinations, anesthetic, medical or surgical diagnosis or treatment, and hospital care. I understand that Skiff Lake Bible Church will not be responsible for medical expenses incurred solely on the basis of this authorization.

I Agree

I agree to notify the church in the event of any health changes which would restrict my child/ren's participation in any normal activities. I also understand that the adult supervisors reserve the right to restrict my child from any activity that they do not feel is within the physical capabilities of my child/ren.

I Agree

Photo / Media Acknowledgment

I understand that photos and/or videos may be taken of my child during this camp for church use (slides, website, social media, etc.). I agree to expressly release Skiff Lake Bible Church (including her directors, membership and staff) from any and all claims which I may have for invasion of privacy, right of publicity, defamation, copyright infringement or any other causes of action arising out of the use, adaptation, reproduction, distribution, broadcast or exhibition of such photographs, videos, voice recordings and the like.

I agree

*To ensure the privacy of individuals and children, images will not be identified using full names or personal identifying information without written approval from the photographed subject, parent or legal guardian.
**Skiff Lake Bible Church reserves the right to use any photograph or video taken at any service on church grounds, or event sponsored by Skiff Lake Bible Church, without the expressed written permission of those included within the media form.

Time Acknowledgment

I understand that VBS runs daily from 10:00 AM – 2:00 PM

Yes

Electronic Signature

By typing my name and submitting this form, I am signing this agreement electronically. I agree that my electronic signature is the legal equivalent of my manual signature.

Legal Acknowledgment

By selecting 'I Accept' I consent to be legally bound by this agreement's terms and conditions.

I Accept

Stay Connected

Would you like to receive updates and information about events from Skiff Lake Bible Church?

Yes, I would like to receive updates from the church No, thank you

Created! Discovering God’s Amazing World Kids Summer Camp (VBS) Registration

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