Register for VBS

Family Information

Address

Primary Phone

Phone Number

Emergency Contact CANNOT be a parent of the child/ren

Emergency Contact Phone

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

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Custody Instructions

Details

Photography & Video Consent

Photos Allowed

I give permission for the VBS leaders and authorised volunteers to administer any necessary medication to my child in accordance with the information and instructions provided on this registration form and any relevant medical action plans. In the event of a medical emergency, I authorise the VBS team to contact **000 and request an ambulance** and seek appropriate emergency medical treatment for my child if required. I understand that every reasonable effort will be made to contact me or my nominated emergency contact as soon as possible. Emergency medical consent

t-shirt size Kids 2 Kids 4 Kids 6 Kids 8 Kids 10 Kids 12 Kids 14

t-shirt size reference View Waiver

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