2024 VBS Guide Registration

In order to provide a safe environment for your child, we believe it is necessary to include the following questions to register for the La Salle VBS program. All information provided will be kept confidential.

Child name

Date of Birth (DD-MM-YYYY)

Gender (optional)

Grade (September 2024)

Child's email

This address will receive a confirmation email

Child's phone number

Does your child have any allergies we should be aware of?

Yes No

List allergies, if answered yes to above

Does your child have an EpiPen prescribed for allergy(s) listed above? Yes No

Does your child have other health concerns we should be aware of?

Yes No

List other health concerns, if answered yes to above

Additional information

Has your child volunteered at La Salle VBS in the past?

Yes No

T-shirt size (adult)

Extra small Small Medium Large Extra large

VBS ORIENTATION (MANDATORY FOR ALL GUIDES)
Sunday, August 25, 2024 at 7 - 8 pm @ Caisse Community Centre

Party for All Guides (optional)
Wednesday, August 28, 2024, 12-3 pm.
The party format is TBD but will include a fun activity and a lunch. More details to come.

Will your child be attending the Party on August 28, 2024? Yes No

Name of parent/guardian

Parent/guardian phone number

Parent/guardian email

This address will receive a confirmation email

I, the parent/guardian of the child named above, consent for the child named above to participate as a guide in the La Salle VBS Program.

I, the parent/guardian of the child named above, consent that photographs or video footage may be publicly taken of the child named above by VBS Program Leaders, for ministry purposes only (which may include posting to social media and/or the ministry website). Media consent may be withdrawn by me at anytime, upon written notice.

I, the parent/guardian of the child named above, authorize the La Salle VBS Program Leaders to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the child named above.

I, the parent/guardian of the child named above, undertake and agree to indemnify and hold harmless the La Salle VBS Program Leaders, LSCF, and its leaders, from and against any loss, damage or injury suffered by the child named above as a result of being part of the activities of the La SalleVBS program, as well as of any medical treatment authorized by the La SalleVBS Program Leaders. This consent and authorization is effective only when participating in the La Salle VBS program.

By typing your full name above and clicking submit you are electronically giving consent for the child named above to participate in the La Salle VBS program.

2024 VBS Guide Registration

Description

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