VBS 2021 Participant Form

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REGISTER EARLY**
VBS at Old North is for kids 4 years through 4th grade (grade completed).
To be considered pre-registered, please sign-up by 2:00pm on Sunday, June 27. Adults and youth older than 4th grade may apply to volunteer by completing a volunteer form. Nursery and classes for 2 and 3 years olds are only available for volunteers' kids -- register those kids on the volunteer form.
**Due to COVID we may need to close registration before June 27 (first come first served).
VBS PARTICIPANT INFORMATION

 
 
 
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PARENTS/GUARDIANS INFORMATION

 
 
 
 
 
MISC. INFORMATION

 
 
 
 
 
I, the undersigned parent/guardian of this minor child, give permission for this child to participate in Knights of North Castle VBS, June 28 - July 2, 2021 at Old North Church in Canfield, Ohio.
 
I, the undersigned parent/guardian of this minor child, give permission for my child's picture to be taken to be used in VBS publications or on the church's website and/or Facebook page.
 
I, the undersigned parent/guardian of this minor child, give permission for the adult bearer of this online document to give consent for emergency medical or surgical treatment of my child by a licensed physician.
 
I, the undersigned parent/guardian of this minor child, understand and agree that Old North Church disclaims any and all liability in the unlikely event of injuries sustained in connection with VBS 2021 at Old North Church.
 
 

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