Bayside Presbyterian Church

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We'll take your kids to uncharted territory where they will begin to understand that obedience to God can lead them beyond the expected. So, toss the map, and prepare to listen for God’s direction in this journey that is unknown to us, but known by Him.
* Denotes a required field to fill in
Child's First Name*
Child's Last Name*
Home Phone (xxx-xxx-xxxx format)
Cell Phone (xxx-xxx-xxxx format)*
Email for correspondence*
Please reenter email address*
Gender*
Child's Date of Birth (MM/DD/YYYY format)*
Child's Grade*
Name of Special Friend your child would like to be with.

Street Address*
City*
State *
Zip Code*
Church (if you regularly attend church, which one? If none, type NONE)*
Please estimate your child's t-shirt size.*

Parent/Guardian Information

PARENT/GUARDIAN INFORMATION #1 (Required)
Parent/Guardian First & Last Name
*
Relationship to child*
Phone (xxx-xxx-xxxx format)*
I am the parent or legal guardian of this child and am signing them up to attend this even.  (Please type in full name)*
I can support VBS as a volunteer (background check required)
Recreation Helper
Snack and Refreshment Workers
Decorations and Set-Designs
Volunteer (wherever needed)
Set up and breakdown crew member
Crew Leader
PARENT/GUARDIAN INFORMATION #2 (Optional)
Parent/Guardian First & Last Name
Relationship to child
Phone (xxx-xxx-xxxx format)

Emergency Contact
Emergency Contact First & Last Name
*
Emergency Contact Phone
(format xxx-xxx-xxxx)
*

Please place here any additional comments that you would like to include as part of this registration
Does this child have any disabilities, handicaps or present injuries or limitations, allergies, hemophilia, heart condition, history of respiratory illness, or any other significant medical condition?*
If above answer is yes, please explain here
How did you hear about us?
If referred by a friend, please type friend's name here.
What school does your child attend?*

Authorization and Pick Up Information


Is it okay to photograph (and use photographs of) your child in future VBS and Sports Camp promotions?*
Authorized to pick up #1 (in addition to parents)
Authorized to pick up #2 (in addition to parents)
Authorized to pick up #3 (in addition to parents)