VBS True North 2025 • First Baptist Church, Guelph

VBS True North Registration (first child) 0

CAMPER INFORMATION

First Name *

Last Name *

Date of Birth *

School Grade (entering in September) *

Mailing Address *

Mailing City *

Mailing Postal Code *

Health Card Number (include version code) *

Allergies/Medical/Behavioural Concerns (if required, please list medications and bring these medication in their original containers to the camp with written instructions on how and when your child should take them): *

If possible, I would like my child to be in the same group as...

Parent/Guardian Information

Name *

Email Address *

Best phone number to reach you during camp hours *

Alternative phone number to reach you during camp hours

I give my permission for my child to be photographed for the purpose of promotion and programming: *

yes

no

In the event that the child named above suffers an accident during the activities of an event run by First Baptist Church, I acknowledge that the Church has made effort to ensure safety, and therefore, I do not hold the Director of the VBS Camp or the volunteers of the Church and its members responsible. I further authorize the administration to provide first aid in the case of a medical emergency. I authorize the adult volunteers of First Baptist Church to act as agents for the undersigned to transport in a private vehicle/taxi/emergency response vehicle this child to a healthcare facility and seek appropriate medical care from the required healthcare providers as registered by the Ontario Medical Association. I further release from liability First Baptist Church, Guelph and any of its leaders/volunteers, in the event of an accident en route, during and returning from trips and/or activities associated with the day camp. This agreement does not apply to claims for intentional misconduct and/or gross negligence.

I have read and agreed to the Accident/Waiver statement. *

yes

no

I would like to be considered for financial assistance

FINAL DETAILS

Emergency Contact Information (please include Name, Phone Number and email address) *

I authorize the following people to pick up my child (they may be asked for photo ID) *

VBS True North Registration (additional children) 0

CAMPER INFORMATION

First Name *

Last Name *

Date of Birth *

School Grade (entering in September) *

Mailing Address *

Mailing City *

Mailing Postal Code *

Health Card Number (include version code) *

Allergies/Medical/Behavioural Concerns (if required, please list medications and bring these medication in their original containers to the camp with written instructions on how and when your child should take them): *

If possible, I would like my child to be in the same group as...

Parent/Guardian Information

Name *

Email Address *

Best phone number to reach you during camp hours *

Alternative phone number to reach you during camp hours

I give my permission for my child to be photographed for the purpose of promotion and programming: *

yes

no

In the event that the child named above suffers an accident during the activities of an event run by First Baptist Church, I acknowledge that the Church has made effort to ensure safety, and therefore, I do not hold the Director of the VBS Camp or the volunteers of the Church and its members responsible. I further authorize the administration to provide first aid in the case of a medical emergency. I authorize the adult volunteers of First Baptist Church to act as agents for the undersigned to transport in a private vehicle/taxi/emergency response vehicle this child to a healthcare facility and seek appropriate medical care from the required healthcare providers as registered by the Ontario Medical Association. I further release from liability First Baptist Church, Guelph and any of its leaders/volunteers, in the event of an accident en route, during and returning from trips and/or activities associated with the day camp. This agreement does not apply to claims for intentional misconduct and/or gross negligence.

I have read and agreed to the Accident/Waiver statement. *

yes

no

I would like to be considered for financial assistance

FINAL DETAILS

Emergency Contact Information (please include Name, Phone Number and email address) *

I authorize the following people to pick up my child (they may be asked for photo ID) *

Financial Assistance Requested 0

CAMPER INFORMATION

First Name *

Last Name *

Date of Birth *

School Grade (entering in September) *

Mailing Address *

Mailing City *

Mailing Postal Code *

Health Card Number (include version code) *

Allergies/Medical/Behavioural Concerns (if required, please list medications and bring these medication in their original containers to the camp with written instructions on how and when your child should take them): *

If possible, I would like my child to be in the same group as...

Parent/Guardian Information

Name *

Email Address *

Best phone number to reach you during camp hours *

Alternative phone number to reach you during camp hours

I give my permission for my child to be photographed for the purpose of promotion and programming: *

yes

no

In the event that the child named above suffers an accident during the activities of an event run by First Baptist Church, I acknowledge that the Church has made effort to ensure safety, and therefore, I do not hold the Director of the VBS Camp or the volunteers of the Church and its members responsible. I further authorize the administration to provide first aid in the case of a medical emergency. I authorize the adult volunteers of First Baptist Church to act as agents for the undersigned to transport in a private vehicle/taxi/emergency response vehicle this child to a healthcare facility and seek appropriate medical care from the required healthcare providers as registered by the Ontario Medical Association. I further release from liability First Baptist Church, Guelph and any of its leaders/volunteers, in the event of an accident en route, during and returning from trips and/or activities associated with the day camp. This agreement does not apply to claims for intentional misconduct and/or gross negligence.

I have read and agreed to the Accident/Waiver statement. *

yes

no

I would like to be considered for financial assistance

FINAL DETAILS

Emergency Contact Information (please include Name, Phone Number and email address) *

I authorize the following people to pick up my child (they may be asked for photo ID) *

Date & Time

VBS True North Registration (first child) 0

CAMPER INFORMATION

Parent/Guardian Information

FINAL DETAILS

VBS True North Registration (additional children) 0

CAMPER INFORMATION

Parent/Guardian Information

FINAL DETAILS

Financial Assistance Requested 0

CAMPER INFORMATION

Parent/Guardian Information

FINAL DETAILS