VBS Sign Up

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VBS Registration Form

Child Information
Dates *
Birth Date *

Parent or Guardian Information

Emergency Information

Consent
I hereby give my permission for my child to participate in Vacation Bible School. I hereby authorize personnel to act on my behalf in case of emergency and authorize necessary treatment for my child if I or my emergency contact cannot be reached (parent will be notified at earliest opportunity), understanding that I am financially responsible. I hereby release the church and its personnel for any claims or damages arising from any accidents or injuries caused by my child’s participation in any program or event.
Date
Willoughby Heights Canadian Reformed Church
7949-202A Street, Langley B.C., V2Y 1W8
604-882- 2997

© Copyright 2025 Willoughby Heights Canadian Reformed Church

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© Copyright 2025 Willoughby Heights Canadian Reformed Church

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