Maker Fun Factory 2017 VBS Registration
Family Information

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Please enter the best phone number in case of an emergency.

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Please enter the best phone number in case of an emergency.

Family's Address*

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Medical & Photo Releases
Medical Release*

I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release Pleasantview Baptist Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by Pleasantview Baptist Church, I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider.

Photo / Video Release*

By attending our event you grant Pleasantview Baptist Church has my permission to use photos of my child in public forums such as the church website & Facebook along with using my child(s) photo on internal publications like bulletin boards & videos. Photos and videos will only be used to promote and celebrate the event and no personal information will be given out.

Where do you attend church?

If you attend church please share with us where you attend?

Participant Registration

Register your child(ren) here! You can only register up to 5 children at a time who live in the same household. To register more than 5 children please complete the form as many times as needed to register your family!

Child 1

Please enter information related to child #1

Gender*

Kids will be in crews with mixed ages for 1st - 6th grade. Prek & K (4 year olds and 5 year olds) will not be in mixed age crews but will be together in a single cre.

Child 2

Please enter information related to child #2

Gender

Kids will be in crews with mixed ages for 1st - 6th grade. Prek & K (4 year olds and 5 year olds) will not be in mixed age crews but will be together in a single cre.

Child 3

Please enter information related to child #3

Gender

Kids will be in crews with mixed ages for 1st - 6th grade. Prek & K (4 year olds and 5 year olds) will not be in mixed age crews but will be together in a single cre.

Child 4

Please enter information related to child #4

Gender

Kids will be in crews with mixed ages for 1st - 6th grade. Prek & K (4 year olds and 5 year olds) will not be in mixed age crews but will be together in a single cre.

Child 5

Please enter information related to child #5

Gender

Kids will be in crews with mixed ages for 1st - 6th grade. Prek & K (4 year olds and 5 year olds) will not be in mixed age crews but will be together in a single cre.