Children's VBS...

...is for children who will enter Kindergarten in the 2010-2011 school year through children who have completed 4th grade.



VBX (VBS eXtreme!)...

...is for children who have completed 5th grade; it is more challenging (and fun!) for 'tweens!



Youth / Teen VBS...

...is for students who have completed 6th grade through high school and consists of interactive, discussion-based Bible study and recreation.





To ensure that your child gets the most out of VBS and is grouped with children in the same age range, your child will be enrolled in VBS according to his/her grade level just COMPLETED in the previous school year, not the grade level he/she will be entering in the fall.

 
 
 
 

Vacation Bible School Registration

 

This registration form will be active through midnight on Saturday, June 19, 2010. Walk-in registrations will be accepted beginning Monday, June 21, at 8:30 am in the church lobby.

 
 

PLEASE COMPLETE ONE FORM FOR EACH CHILD


* - Indicates REQUIRED entry

  * Child's Name:  
  Nickname:  
  * Street Address:  
  * City:  
  *
State:
  
  * Zip Code:  
  * Phone:  
  * Birthdate:  
  * Age:  
  *
School Grade Just Completed:
  
  *
Does Your Family Attend Church Regularly?:
  
  Church Regularly Attending:  
  Alternate adults who may pick up your child from VBS:  
 
 

Emergency Contact Information
  * Parent's Name:  
  * Work Phone:  
  Cell Phone:  
  Secondary Emergency Phone:  
  * E-Mail Address:  
  * Child's Physician:  
  Physician Phone:  
  Allergies or other conditions teachers/staff should know about:  

Please provide contact information for an alternate person to be responsible for this child if the parent is not available.
  * Name:  
  * Phone:  
  * Relationship:  
  Street Address:  
  City:  
 
State:
  
  Zip Code:  
 
 
Check the following check box only if you will be attending the Adult VBS

I have registered my older child(ren) for VBS, but I have a child too young for the program and I will need childcare to attend the adult class.

        Please check here if childcare is needed
 
 

By checking the box below, you authorize and agree to the following:

1) I give the staff of University Hills Baptist Church's Vacation Bible School permission to administer first aid to my child. I understand that in case of emergency, the church staff immediately contacts the parents. If neither parent nor the emergency contact person can be reached, I hereby authorize University Hills Baptist Church staff/members to call a physician or to take my child to the nearest hospital. The designated physician is listed above and it is understood that, if possible, his/her services will be obtained. I give permission to the physician selected by the University Hills Baptist Church staff/members to hospitalize and secure proper treatment for my child (named above). I do hereby release University Hills Baptist Church from any and all liability or claims for actions taken under this consent in good faith and further agree to indemnify University Hills Baptist Church and hold it harmless against all expenses incurred by it in relying in good faith on this consent.

2) I authorize the usage of images of my child (i.e., photos, video) by University Hills Baptist Church and its assignees for any lawful purpose, including such purposes as publicity, illustration, advertising, etc., in print or electronic form.

        *I agree to the above statement
 

Clear

If you have any other questions, please email vbs@universityhills.org.

 
 

University Hills Baptist Church offers an Adult Bible Study from 9:00 to 11:00 am each day for parents whose children are enrolled in Vacation Bible School. If you would like to attend the Adult session, which includes Bible study and fellowship time, you may register by clicking below: