Rainforest Falls VBS | Ages 3-12 | June 1st-3rd | 6:00pm - 8:00pm

Parent Name *

Parent Mobile Phone *

Emergency Contact: Name and Relation *

Emergency Contact: Phone *

Child #1 Name & Age *

Child #1 Allergies or Special Notes

Child #2 Name & Age

Child #2 Allergies or Special Notes

Child #3 Name & Age

Child #3 Allergies or Special Notes

Child #4 Name & Age

Child #4 Allergies or Special Notes

Child #5 Name & Age

Child #5 Allergies or Special Notes

I'LL HELP! Myself or someone in my household (12+) is willing to volunteer in the following ways:

Photo Release: Maple Grove Bible Church has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. *

Yes, you may include my child in photographs.

No, you may NOT include my child in photographs.

If you don't attend Maple Grove Bible Church, what's the name of your Home Church (if any)?

The following people have permission to pick up my child(ren): *

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Rainforest Falls VBS | Ages 3-12 | June 1st-3rd | 6:00pm - 8:00pm