VBS 2026 - ILLUMINATION STATION Registration Form

Name of Child

Birthdate

Kids must be going into Pre-K to 5th grade in the fall of 2026.

Grade

Gender

Male Female

Parent Name

Parent Email

This address will receive a confirmation email

Parent Cell Phone

Emergency Contact and Phone Number

Address

Allergies/Medical Conditions

Does your child have disabilities? If yes, please describe below. Yes No

Disability

T-Shirt Size

Youth X-small Youth Small Youth Medium Youth Large Adult Small

Photo Release

If you prefer that your child not be photographed during VBS activities, please indicate this by checking the “No” box below. We will make every effort to respect your preference and ensure your child is not included in photos used for church communications or promotional materials.

Photo Release

Release Form

As a parent and/or guardian, I do herewith give permission for my student to participate in VBS at Hope Community Church in Olympia, WA on July 6-9, 2026. I authorize treatment under the direction of any licensed physician of the above-named minor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his or her life, cause disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me by phone at the number listed above. I assume the responsibility for any costs connected with such treatment and hereby release Hope Community Church from any liability. This release form is completed and signed of my own free will with the sole purpose of authorizing medical treatment under emergency circumstances in my absence.

Type your name in the box below indicating that you are the parent/guardian of every student on this registration, and that you understand and agree to the above release form.

Parent Signature

VBS 2026 - ILLUMINATION STATION Registration Form

Description

Please Fix the Following