Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Photograph Release Yes, I give permission to Overland Park Baptist to include my child in photographs. No, I do not give permission to Overland Park Baptist to include my child in photographs. I (the parent or legal guardian) grant Overland Park Baptist Temple my permission to use the photographs taken during VBS for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. I understand the images may be used in print publications, online publications, presentations, websites, and social media. Further, I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.

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