VBS 2017 - A Wilderness Adventure 

Join us June 12th - June 16th for A Wilderness Adventure.  Ages 3 - 11 welcome.  

 

Please complete the form below

Child's Name *
Child's Name
Parent/Guardian's Name *
Parent/Guardian's Name
Parent/Guardian's Name *
Parent/Guardian's Name
Phone
Phone
Address *
Address
Grade *
As of Spring 2017
Birthdate *
Birthdate
We will be using photography during VBS. These images may be shared during our Sunday services, in printed materials such as church bulletins, on our website, or an events such as the VBS program. No identifying information will be displayed, including names, addresses, email addresses, family members’ names, or schools. I hereby grant permission to Prairie Baptist Church to use my child’s photograph(s) on its website, or in other official church printed publications without further consideration. I understand that once the image is posted on the church website, the image can be downloaded to an computer user, anywhere in the world, Therefore, I agree to indemnify and hold harmless the church, its pastor, deacons, trustees, members, and designees from claims arising out of the use of my child’s photograph(s).