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Richmond, TX
Mon Jul 25–Thu Jul 28 AT 9 a.m.–noon
Primary Phone
Parent/Guardian- (Secondary) Phone #
Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other
Phone Number
Media Release/Photo Consent: On occasion, GCBC uses photos & videos on the church website, newsletters to families, etc. (GCBC will never identify minors by name when photos are online).
I acknowledge not to send my child (or an adult) to VBS if they are feeling unwell and experiencing any unusual/negative health symptoms.
I acknowledge not to send my child (or an adult) to VBS if they are experiencing COVID-19 symptoms, such as: fever, (100.4 or greater), coughing, or shortness of breath.
I acknowledge that I am required to screen my child (& adult) at home each morning before sending them to VBS, to ensure body temperature is no greater than 100.4 degrees.
I acknowledge not to send my child (or an adult) to VBS if they have been in recent contact with someone who has tested positive for COVID-19.
I acknowledge the contagious nature of COVID-19. I am aware of the possible risk that my child may be exposed to or infected with COVID-19 by their participation in VBS.
I assume all risks and responsibility of possibly injury to my child or myself in relation to my child's participation in VBS.
I release GCBC, the Children's Ministry, all staff members, leaders, & volunteers from any claim, liability, action, damages, or expenses that may come from possible COVID-19 exposure.
Date of Birth We welcome children between the ages of 4 years (entering pre-k) through 12 years of age. Note: Pre-K children must turn 4 years old by July 1, 2022 (and be potty-trained).
Age Group
Gender
Food Allergies
Details
Medical Concerns
Anything else you would like to share about your child? Please share any additional info, which might be helpful for us to know, as we spend time with your child this summer at VBS.
I have more students to register