VBS Parent Permission Form - The Faith Fellowship

DIG VBS at Faith Fellowship of Citrus Springs FBS 2021 at Faith Fellowship church in Citrus Springs, FL

Please fill out and submit the permission form for each child attending VBS. Each item with an asterisk (*) is required. The Parent/Guardian Signature at the end of the form cannot be signed online. So we will print it and ask you to sign before you bring your child/children to VBS.

Child's Information

Please fill out all the entries about your child.

Child's Name *

First

Last

Birthdate *

Age *

Grade *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Gender *

Male
Female

Child's Pertinent Medical Info

Please list anything that may prevent your child from fully participating in Dig VBS at Faith Fellowship of Citrus Springs Church. (Food allergies, bug/sting allergies, diabetes, etc.)

Medical Info

Parent/Guardian Info

Parent/Guardian Name *

First

Last

Email *

Home Phone *

Parent/Guardian #1 Work Phone *

Parent/Guardian #1 Cell Phone *

Parent/Guardian #2 Work Phone *

Parent/Guardian #2 Cell Phone *

Is your child currently in foster care?

Is either parent in military?

Church Attending

Pastor

Emergency Contact

Emergency Contact Person *

First

Last

Phone *

Photo Release

"Photographs of your child may be used for promotion, advertising, trainings, etc. Signing this form gives Faith Fellowship of Citrus Springs Church permission to use photos and/or videos of your child. We will respect your wishes if you desire us not to use photos/videos of your child. If you do NOT want photos/videos of your child to be used, please check the box below.

Permission for photos/videos

Dismissal

"The following people are allowed to pick up my child from Dig VBS 2021:

Contact #1 *

First

Last

Contact #1 Phone *

Contact #2 *

First

Last

Contact #2 Phone

Contact #3 Name

First

Last

Contact #3 Phone

In the event of an emergency

By signing this form I/we grant permission to the attending medical professional to render to my child emergency treatment, medical or surgical, deemed necessary to the health and well-being of said child. I/we hereby release and forever discharge Faith Fellowship of Citrus Springs Church from during said child's attendance of Dig VBS at Faith Fellowship of Citrus Springs.

Permission to attend

My child has permission and will attend DIG VBS at Faith Fellowship of Citrus Springs. Any changes to my child's attendance/enrollment will be submitted in writing to Elizabeth Ryman.

Permission for this child *

First

Last

Parent/Guardian Signature *

First

Last

IMPORTANT NOTICE. This form must be personally signed in order for your child to attend DIG VBS at Faith Fellowship of Citrus Springs. We will print your submitted form and have it available in the church office for you to sign prior to VBS.

Date

"Thank you for enrolling your child in DIG VBS at Faith Fellowship of Citrus Springs!