Hero Central VBS Registration

Please fill out this form for each child you are registering to attend Hero Central VBS then click submit.
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.
 
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Please select all that apply.
 
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Please enter phone numbers in this format (XXX-XXX-XXXX)
 
 
 
I hereby consent to let the child named above participate in Hero Central VBS Program hosted by La Salle Community Fellowship.

I 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 Media consent may be withdrawn by me at anytime, upon written notice.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/we, the parent/guardian named below, authorize the 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/we, the parent/guardian named below, undertake and agree to indemnify and hold harmless the 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 VBS program, as well as of any medical treatment authorized by the VBS Program Leaders. This consent and authorization is effective only when participating in the La Salle VBS program.

Please select one option.
 
 
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.

Description

Please fill out this form for each child you are registering to attend Hero Central VBS then click submit.