Vacation Bible Camp 2018 Experience the ride of a lifetime with God at Rolling River Rampage Vacation Bible Camp! June 18 – 22 9:00 am - noon Each day’s adventure includes a Bible story, craft, science activity, recreation time, snacks and music. For kids 4 years old – 5th grade. Family Name*Number of Children (Must be at least 4 years old to register)1234Child 1 - Name and Grade for upcoming school year (pre-K through 5th grade)*Tshirt size*XSSMLXLAdult MAdult LChild 2 - Name and Grade for upcoming school yearTshirt sizeXSSMLXLAdult MAdult LChild 3 - Name and Grade for upcoming school yearTshirt sizeXSSMLXLAdult MAdult LChild 4 - Name and Grade for upcoming school yearTshirt sizeXSSMLXLAdult MAdult LPrimary phone*Secondary phoneEmail* Medical InformationMedical Consent**Yes - I consentNo - I do NOT consent; I will provide an alternate plan to the Director of Children’s Ministry before camp begins.*Medical Consent I hereby allow the above-mentioned child(ren) to participate in all activities associated with VBS. As the parent/guardian of these registered children, I hereby permit and authorize the leaders of St. Andrew United Methodist Church Vacation Bible Camp to call a doctor for medical or surgical care for my/our child(ren), should an emergency arise and I cannot be reached. I release St. Andrew and the adult leaders from responsibility and liability for any occurrence resulting from such treatment. I further agree to accept the full responsibility for any such medical treatment or cost as the above-authorized action might incur.Allergies or other medical conditions/concerns:Child's Physician's Name & Phone Number*Insurance CompanyPolicy NumberGroup NumberHospitalAdditional Emergency Contact and Phone Number*Consent to photo and video use for social media and church publications.*Please note all children participating in the VBC Sunday presentation will appear on the St Andrew live stream Yes, I consentNo, I do not consentFriends are welcome!We will do our best to honor ONE friend request per child to be in the same age group as your child.I have a friend request for one childI have friend requests for multiple childrenFriend's Name First Last Grade level Your child's name Friend's Name First Last Grade level Your child's name Friend's Name First Last Grade level Your child's name Friend's Name First Last Grade level Your child's name Friend's Name First Last Grade level Your child's name Parent VolunteersNOTE: Registration fee for children of full-time volunteers is waived. Only $10 payment for each t-shirt ordered is required.I will serve as an adult volunteer. Please contact me.Parent/Guardian Signature*
