The Wild

This VBS is for children going into 1st-5th grade or July 22th - 26th, 6:00 PM -8:00 PM.

Thank You, we have received your form.
    July 22 - 26, 2019
    @6:00 - 8:00 PM
    Attendee
  • Parent / Guardian
    Parents, please fill the below are out.
  • Relationship to the Child

  • ALTERNATE PHONE

  • DO YOU ATTEND THIS CHURCH

  • IMPORTANT INFORMATION

    Parents/Guardians: When you arrive at church you will be required to check your child in before you leave, check in begins at 5:30 PM at the upstairs main church enterance. You will also be required to check your child out at the end of the day beginning at 8:00 PM, also at the upstairs main enterance. Please DO NOT drive around to the back of the church for the safety of the children that could be outside.

  • Waiver

    I give approval for my child to attend the WFLC VBS, to participate in all activities, and relieve WFLC Church and all its affiliated staff from any and all liability for sickness, accidents, or injuries while attending or being transported to/from the WFLC. In the event of an emergency and I cannot be contacted, I give my consent to the VBS Director and the VBS Nurse to authorize medical help on site or at an appropriate medical facility. I give permission to the staff to use pictures / video of my child for the purpose of promoting the camp experience.

  • Attendee
    Please complete all fields below
  • Age

  • BIRTHDATE

  • In case of emergency, notify: Name & Phone

  • EMERGENCY CONTACT PERSON RELATIONSHIP TO CHILD

  • THE FOLLOWING PERSON(S) ARE AUTHORIZED TO PICK MY CHILD UP: NAME & PHONE

  • LIST FOOD ALLERGIES (IF NONE WRITE NONE)

  • MEDICAL CONCERNS WE SHOULD KNOW ABOUT (LIST BELOW IF NONE WRITE NONE)

  • T-Shirt Size

  • If other, please specify:
  • Please mark the days your child will need a van ride. Note: Van rides are available by necessity and availability ONLY.

  • Grade entering