VBS Registration

2022 Vacation Bible School Registration

Parent Name(Required)
Best daytime contact number
Your email address
Optional
Address
Emergency Contact Name(Required)
Best Daytime Phone number
Emergency Contact - Relationship
Name

Child 1

Child 2

Child 3

Child 4

Acknowledgement(Required)
By submitting this online registration, I hereby acknowledge and agree that I am placing my child in the care of Emmanuel OPC for the purpose of their VBS program and in so doing I agree to, and hereby do release Emmanuel OPC and their staff from any and all liability for any incident, accident or occurrence which may take place involving my child, including but not limited to any resulting injury or illness which my child may suffer as a result of attending VBS at Emmanuel OPC.