VBX Child Registration

Just so you know! If you want to get a MOVE on this year's mission competition, we will be helping a local and/or regional elementary school with school supplies for kids who are not as fortunate. It will be boys versus girls, and the winner with the greatest weight at the end of the week will have the honor of sliming one of our very own. We are looking for everything that would typically be on a kid's need's list for the year. Join with us as we make a difference together!

Guardian's Name

First Name

Last Name

Guardian's Cell Phone

(###)

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Guardian #2 Name

First Name

Last Name

Guardian #2 Cell Phone

(###)

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Email

Emergency Contact Name(if different)

First Name

Last Name

Emergency Contact Phone

(###)

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Student's Name

First Name

Last Name

Student's Gender

Students Grade Completed

Student's T-shirt Size

If possible my Child needs to be in the same group as..

If your student has allergies or needs that we need to be aware of

I give my permission for the VBX staff to administer basic first aid to my child(ren) in the event of an injury. I understand that the VBX staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me. I hereby grant First Baptist Maryville permission to copyright and use photographs/videos taken at VBX of the minor designated above in any manner or form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to which it may be applied. I give permission for my child(ren) to attend the Vacation Bible Experience (VBX) listed above. I understand that the information I give for this registration will only be used by First Baptist Maryville.

I agree

VBX Child Registration

FIRST BAPTIST MARYVILLE

SOCIAL MEDIA