NBBC - Vacation Bible School -

Please complete all fields requested for each child/youth attending Vacation Bible School. Thank You.

* Child First Name

* Child Last Name

* Child Birth Date

* Child Email

* Child Mobile Phone

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* Emergency Contact: Please list the first and last name of an emergency contact. Please also list their cell number. Thank You.

* Which Grade of School will you attend for the upcoming school year?

* What is the T-Shirt Size of your student/child?

* Who is allowed to pick up your child from VBS? Please list their first & last name, as well as a cell number.

* Will your student/child need bus transportation for VBS?(Please answer yes or no) If pick up/drop off address is different than your home address, please list the full address here.

* Please list any allergies or medical conditions that our NBBC staff should be made aware of. If medications are required for emergencies, such as an epi-pen, please list those medications. If there aren't any, please answer none.

* During this event, photos will likely be taken and shared on social media and our website. Do you allow photos/video's to be taken of your child/student during this event?

* I give permission for __ to participate in any activities associated with NBBC & this event. I give Pastor Joey Gilbert & Leaders of NBBC permission to seek adequate medical treatment in the event of an injury, illness, or other type of emergency. I also waive & release NBBC,their offices,employees,agents,& volunteers from any liability of injury,loss,or damage to personal prop. during this event