VBS 2012 is cleared for takeoff!

This summer, watch amazing things happen as your kids come closer to God than ever before. You'll see lives changed as kids tour some of the world's most marvelous natural wonders and explore God's awesome power as they learn to trust and recognize Him in their everyday lives.




 
 
 
 

Vacation Bible School Registration

 

This registration form will be active through midnight on Saturday, June 23, 2012. Walk-in registrations will be accepted beginning Monday, June 25, at 8:30 am in the church lobby.

 
 

PLEASE COMPLETE ONE FORM FOR EACH CHILD


* - Indicates REQUIRED entry

  *
Child's Name:
  
 
Nickname:
  
   * Gender:   Male
        Female
  *
Street Address:
  
  *
City:
  
  *
State:
  
  *
Zip Code:
  
  *
Phone:
  
  *
Birthdate:
  
  *
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:
  

Allergy Alert Information
   *     None
        Allergy Alert (Type in the box below)
 
*
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:
  
 
 

How did you find out about our VBS?
   *     I'm a UHBC member
        Received a 'Save the Date' postcard
        Read about it
 
If Read about it, please list publication:
  
        Saw it on the UHBC website
        Saw the banner on the front lawn
        Friend/family member told me
        Not a member, but look for VBS every summer
        Other
 
If Other, please list:
  
 
 

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.

 
 

Children's VBS...

...is for children who will enter Kindergarten in the 2012-2013 school year through children who have completed 4th grade.

Your child is old enough to attend VBS if he or she were born before August 31, 2007.



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 through 11th grades 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.