VACATION BIBLE SCHOOL

When:
July 17, 2019 @ 9:00 am – 12:00 pm
2019-07-17T09:00:00-04:00
2019-07-17T12:00:00-04:00
Where:
First Baptist Church
408 Pleasant Street
Manlius
NY 13104

VACATION BIBLE SCHOOL – First Baptist Church of Manlius – 408 Pleasant Street, Manlius, NY 13104

The week of Monday, July 15 – Friday, July 19, 2019, 9-Noon.  Registration forms are below.

July 15 – 19, 2019

9:00 a.m. to 12:00 p.m.

First Baptist Church, Manlius NY  

408 Pleasant St., Manlius, NY 13104

Phone: 315-682-8941    www.firstbaptist-manlius.org

2019 Registration Form

All children entering Kindergarten through Grade 6 (Fall 2019) are welcome.  Registration is free.  Church is handicapped accessible.

 

Name _______________________________________________     M _____  F _____

 

Street address _________________________________________________________

 

City ________________________________ State _______   Zip ______________

 

Parent/Guardian _________________________________________________________

 

Home phone (_______)_________________ Cell phone (______)__________________

 

Email address ___________________________________

 

My child will attend:  ____All 5 days        OR                M     Tu    W    Th    F

                                               

                                                (Please circle days your child will attend.) 

Child’s date of birth _______________  Age ____   Grade entering in Sept 2017_______

 Emergency Contacts:

 

#1 ______________________________________ Phone _______________________

 

#2 ______________________________________ Phone _______________________

 

Allergies, dietary restrictions, or medical conditions ____________________________

 

_____________________________________________________________________

 

Names of those allowed to pick up/take child from church premises _________________

 

_______________________________________________________________________

 

Home church (if applicable) _________________________________________________

 

How did you hear about VBS? _______________________________________________

Please sign & date the release on the Authorization/Release form. Thank you.

 

Vacation Bible School

Release Information

First Baptist Church of Manlius

408 Pleasant Street, Manlius, N.Y. 13104

( 315-682-8941   8 www.firstbaptist-manlius.org

 We are pleased to offer FREE registration this year.

  • No phone registrations, please; mail form to address above.

      Authorization: In the event that I cannot be reached in an emergency, I hereby

     give permission to the answering ambulance/and or hospital in compliance

with Onondaga County Health Regulations to hospitalize, secure proper treatment

for, and to order injection, anesthesia, or surgery for my named child on this form.

This form will be kept on file at The First Baptist Church of Manlius.

 

Child’s Name: __________________________________________

 

Signature of Parent/Guardian over 18 years old:______________________

 

Date __________

 

Release for photos taken during Vacation Bible School:

 

____________ I DO give permission for my child’s picture to be taken for use in local

newspapers, church newsletters, website, etc.  I agree to allow their name published

with the photo.

 

____________ I DO NOT give permission for my child’s picture to be taken for use in

local newspapers, church newsletters, website, etc.

 

______________________________________________

Parent/Legal Guardian Name (print)

 

 

______________________________________________

Parent/Legal Guardian Signature

 

 

__________________________________

Date