VBS Outback 2024 Registration

Step 1 of 2

‘OUTBACK ROCK VBS’ 2024 REGISTRATION

PLEASE REGISTER BY: SUN, JULY 14

$10/child suggested VBS donation if registering by Sun, July 14
$15/child suggested VBS donation if registering Mon, July 15 & beyond

Child's preferred name *

First

Last

Child's Age *

Date of Birth *

Grade 2024/25 *

Name of Parent/Guardian #1 *

First

Last

Parent/Guardian Cell #1 *

Parent/Guardian Email #1 *

Parent/Guardian #1 Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name of Parent/Guardian #2

First

Last

Parent/Guardian Cell #2

Parent/Guardian Email #2

Home Church, if any: *

We're interested in hearing more about Timnath Presbyterian Church: *

Allergies/Medical Conditions/Best Practices for your child:

Name/s of who has/have permission to pick up the above child *

TIMNATH PRESBYTERIAN CHURCH UNIVERSAL PERMISSION FORM 2024-2025

Child Name *

First

Last

Child Age *

Date of Birth *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Grade 24/25 *

Parent/Guardian Name *

First

Last

Parent/Guardian Address

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian Cell *

Parent/Guardian Email *

Permission to Participate

I, the parent/guardian of the above-named child, give my permission to participate in Timnath Presbyterian Church’s (NKA ‘TPC’) 2024-2025 Children’s Ministry programs, activities, outings, VBS, camps, and mission projects. I agree to hold harmless and indemnify Timnath Presbyterian Church, its agents, staff, and volunteers, from any and all liability, personal injury, sickness, death, as well as property damage and expenses, which may be incurred by the participant while participating or commuting to/from TPC youth activities, programs, activities, outings, camps and mission projects. In case of illness or injury, give TPC my permission to procure medical attention/treatment for the above-named youth. I understand that TPC does not provide medical insurance or reimbursement for medical fees or prescriptions. I understand that I am responsible for any fees or charges arising from illness or injury, which occurred while child was participating or commuting to/from TPC children’s activities, programs, outings, camps, and mission projects.

Permission to Participate *

Yes, I Give Permission
No, I do not Give Permission

If box NO is checked, I do not give TPC permission to take photos of the above-named child/youth in context of TPC youth activities, programs, outings, camps, and mission projects to be used, untagged, in TPC communications, TPC website and TPC social media only.

Signature of Parent/Guardian *

By typing your name above, you have read and understand the permission to participate at Timnath Presbyterian Church.

Today's Date *

Online Payment

After you click SUBMIT below you will be redirected to the TPC donation portal. In the note section, please put in VBS. Thank you.

‘OUTBACK ROCK VBS’ 2024 REGISTRATION

PLEASE REGISTER BY: SUN, JULY 14

TIMNATH PRESBYTERIAN CHURCH UNIVERSAL PERMISSION FORM 2024-2025

Permission to Participate

Online Payment

Timnath Presbyterian Church

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