Splash Canyon VBS Registration

June 18-21
2nd-6th Grade

June 25-28
3/4 Year Olds(potty trained) – Rising 1st Grade

Student Information

Parent / Guardian Information

Emergency Contact

Other Information

I, hereby give my permission and approval as a parent and/or guardian for above to participate in the Splash Canyon Vacation Bible School. It is my understanding that this activity is approved by the church and appropriately chaperoned. I hereby release CITY ON A HILL UMC, it’s staff, and servants from responsibility and liability for any injury, illness, medical bills or loss of life that my child may sustain during these activities.

In the event of an emergency, I hereby authorize an adult leader from CITY ON A HILL UMC group to act as an agent for me and to consent to any x-ray examination, medical, dental, or surgical diagnosis, treatment, and hospital care advised and supervised by a physician, surgeon, dentist, (as appropriate) licensed to practice under the laws of the state where the services are rendered, whether at a doctor’s office or in any hospital. I expect to be contacted as soon as possible in the case of such injury requires medical attention.

I permit my child/youth to ride in any vehicle driven by an approved and licensed ADULT chaperone while attending and participating in Splash Canyon Vacation Bible School, if necessary. My child/youth and I understand that SEAT BELTS MUST BE WORN AT ALL TIMES during transportation.

During VBS we will be taking pictures to show during closing and CITY ON A HILL UMC may use those photos for web and marketing purposes. By registering your child for VBS you are giving permission to CITY ON HILL UMC.