Bridge City Church VBS Registration

Parent/Guardian Name *
Parent/Guardian Name
List full name and age of child(ren) attending.
Emergency Contact Info
In case of emergency, I give permission to the representatives of Bridge City Church to obtain medical treatment for my child in my absence.
Date of Birth *
Date of Birth
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
Photo/Video Release *
I authorize that my child’s image may be photographed or filmed and be used in a video, print, or web presentations.