FBC-Buda Vacation Bible School

Child must be 4 years old on or before September 1, 2025 to attend.

Child's Name

Child's Shirt Size
--Select--Youth Extra SmallYouth SmallYouth MediumYouth LargeYouth Extra LargeAdult Small
Parent/Guardian Name

Residence Address

Mailing Address (if different than above)

Parent/Guardian Home Phone Number

Parent/Guardian Cell Phone Number

Parent/Guardian Work Phone Number

Parent/Guardian Email

Child's Age Information

Child's Birthdate

Last Grade Completed in School

Medical Information that we need to know – please also include any food allergies: (type N/A if none)

Emergency Contacts (other than those listed above)

Name

Telephone

Name

Telephone

Dismissal Information – who may pick up your child at the end of each VBS day?

Names of allowed person(s).

Phone Number of Allowed Pickup

Other Information:

What can you tell us about your child that will help us meet their needs?

Do we have permission to photograph your child? (photos will be used in VBS presentations)
—Please choose an option—YesNo

Medical Emergency Consent Form

Child's Name

I, understand that the above-named child may participate in physical activities such as those held in recreation time. I understand that with any physical activity, there is a risk of injury. I fully accept this risk and do not hold any legal liability to: First Baptist Church Buda and/ or any persons involved in conducting Vacation Bible School at First Baptist Church Buda.

In the event of an emergency that requires medical treatment for the above-named child. I understand that every effort will be made to contact me or my emergency contact. However, if I cannot be reached, I give my permission to a VBS director/leader to secure the services of a licensed physician or qualified medical emergency professional to provide the necessary care for my child. I assume full responsibility for all costs connected to any accident or treatment of my child.

Today's Date:

I hereby confirm that my child turned 4 on or before September 1, 2024. I have also read and agree to the Medical Emergency Consent Form.