• VBS Registration Form July 20-24, 2020

  •  Information received is confidential and is being gathered for the purposes of serving your child while in the care of Bethel Evangelical Missionary Church. Any medical information collected here serves to authorize Bethel Evangelical Missionary Church, and its staff and volunteers, to obtain medical assistance in emergencies.

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  • Local Phone Number and Address:

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  • Age Information:

  • In Case of an emergency, contact:

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  • May we have permission to photograph your child and use your child’s photograph for internal church use only ie. in a slide show of the VBS week?

  • The safety of your child is our primary concern.  Precautions will be taken for their well being
    and protection.

     
    I/we, named below, undertake and agree to indemnify and hold harmless Ministry Personnel, Bethel Evangelical Missionary Church, its Pastors and Board of Elders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of the Bethel Evangelical Missionary Church, as well as of any medical treatment authorized by the supervising individuals representing the Church.  This consent and authorization is effective only when participating in or traveling to events sponsored by the Bethel Evangelical Missionary Church.

  • Purpose and Extent

    Bethel Evangelical Missionary Church is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to assign the student to the appropriate classes, to develop and nurture ongoing relationships with you and your child, and to inform you of program updates and upcoming opportunities at our Church.  This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel.  If you wish Bethel Evangelical Missionary Church to limit the information collected, or to view your child’s information, please contact us.
     
    I have read, understood and agree with the above.

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