2025 LFCC VBS Registration & Permission Form

Registration & Health Form

Child's Name

Address

Sex

Male Female

Birthdate

Age

Grade entering INTO in Sept. 2025

T-shirt size (Child Sizes except where noted)

Parent/Guardian Name

This address will receive a confirmation email

Phone

Church currently attending (if any). If not currently attending a church then just state "Currently not attending church"

How did you find out about VBS?

Allergies (include reaction if ingested and if medication is required (example: Peanuts - Anaphylaxis. Medication: Epipen):

Health conditions, food restrictions or other special needs (noted in school IEPs):

Medical Insurance

Yes No

If yes, name of insurance.

Physician Name & Phone Number

Permission Form

As the parent or legal guardian I consent that my child can participate in the Vacation Bible School Program at Living Faith Community Church from August 18-22, 2025. I represent that my child is physically fit and can safely participate in these activities. If, in the event of accidental illness or injury, I authorize adult leaders of this ministry to consent for medical treatment for my child and to exercise their reasonable judgment as to appropriate medical care. I also agree to pay all costs and expenses incurred for such services. I understand that in such an event, I will be contacted as soon as possible. Adult leaders of this ministry also have my permission to sign any waiver of liability which may be required. I agree to hold harmless and blameless, the leadership of Living Faith Community Church (including members of ministry teams and any additional adults participating in or providing assistance to the activity) from any injury or illness resulting from participation in this activity. I waive all rights to any civil action against the above mentioned parties. The authorization for consent will be in effect from the date of signature until August 24, 2025.

Photo Disclaimer: During the duration of our VBS, photos and videos will be taken to share on our closed Living Faith Community Church Children's Education Ministry page and for a slideshow presentation that will be shared a Sunday following our VBS. These photos/videos will not be shared anywhere else.

Parent/Guardian Signature: By typing my name in the following box I certify I am the legal parent/guardian of child. I also certify the above statements to be true and correct to the best of my knowledge and I have read and understand all statements in the above form.

Payment

The Cost
1 Child $25
2 Children $40
3+ Children $55

Payment Options:

Enter your credit card information below. If you are registering for a 2nd-4th child, please choose "payment made" if payment was made with a previously registered child.

Zelle to giving@lfcc.net. Please choose "other form of payment" and pay promptly so you do not loose the spot for your child. VERY IMPORTANT: Also, note VBS for [Child's names] so our finance team knows who the payment is being made for.

Financial Assistance. If you are in need of financial assistance, please choose "financial assistance needed" and our director will contact you for more information. Our church is more than happy to assist you.

Payment

There are no refunds, but should you need to cancel, please contact vbs@lfcc.net.

I understand

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

2025 LFCC VBS Registration & Permission Form

Description

Please Fix the Following