2026 VBS Registration

Child's Name

Age

Grade Completed

Shirt Size

Parent/Guardian's Name

Parent/Guardian's Email

This address will receive a confirmation email

Parent/Guardian's Phone

Address

Medical & Safety

Any Allergies or Medical Conditions?

Any Medications Needed During VBS?

Emergency Contact Name

Emergency Contact Phone

Church & Visitor Information

Are you a member of GracePointe? Yes No

If no, how did you hear about us? Friend/Family Facebook Website Internet Search Community Event

Would you like more information about chruch? Yes No

Permission & Release

I give permission for my child to be photographed or recorded for church use.

Agreed

I agree to follow check-in and pick-up procedures.

Agreed

I, the undersigned parent or legal guardian, hereby give permission for my child(ren) to participate in Vacation Bible School (VBS) activities hosted by GracePointe Baptist Church NOVA. I understand that reasonable precautions will be taken to ensure the safety and well-being of all participants; however, I acknowledge that participation in activities may involve certain risks, including but not limited to physical activity, games, and group interaction. I voluntarily assume all risks associated with my child’s participation and agree to release, waive, and hold harmless GracePointe Baptist Church NOVA, its pastors, staff, volunteers, and affiliated representatives from any and all liability, claims, or demands arising from injury, illness, or other damages that may occur during participation in VBS, except in cases of gross negligence. In the event of a medical emergency, I authorize church staff or volunteers to obtain appropriate medical care for my child, including transportation to a medical facility if necessary. I understand that I will be responsible for any medical expenses incurred. I certify that the information provided in this registration is accurate to the best of my knowledge and that my child is physically able to participate in the activities, except as noted in the medical information section. By checking this box, I acknowledge that I have read, understood, and agree to the terms outlined above.

Agreed

2026 VBS Registration

Description

Please Fix the Following