2019 VBS Participant Registration

We require individually registration for each child/participant. We apologize for the inconvenience.

  • Parent Information

  • Emergency Contact

  • Participant Information

  • Price: $10.00
  • Every additional $10 allows for another child to participate in our VBS.
  • $0.00
  • Payment Information

    Online payment is available, but you can pay by cash or check on-site as well. If you need financial assistance, please contact amy@livingwatercrc.org.
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  • Parental/Guardian Consent:

    In the event of an emergency, or a situation that is reasonably considered to be an emergency, I, the parent/guardian give permission to Living Water CRC to seek and authorize emergency medical care to be given to my child named above. (For example; first aid, medication, anesthesia, or surgery.) This care may be given under whatever conditions are necessary to preserve life, limb, or well being of my dependent. Living Water CRC will make reasonable attempts to notify parents/guardians prior to authorizing any such emergency care. Additionally, I give permission for images of my child, captured through video, photo and digital camera, to be used solely for the purposes of Living Water’s promotional material and publications, and that my child’s name will not be used with the image.