When

Monday, June 7, 2021 at 9:00 AM CDT
-to-
Friday, June 11, 2021 at 11:30 AM CDT

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Where

Grace Presbyterian Church

3312 Calvin Dr
Lawrence, KS 66049

Event Address Map
Driving Directions

Contact

Betty Adema
Grace Church
785-843-2005
betty@gepc.org

VBS 2021 Registration (K - Fourth)

•THIS YEAR, children will meet OUTDOORS with brief periods indoors where social distancing is possible. Masks will be worn while inside and snacks will be individually wrapped. •••CAMP WILDERNESS REGISTRATION (5th/6th grade) is on a separate form.

* Required information

Parent/Guardian Info

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    Are you a regular attender at Grace EPC?

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  • PLEASE NOTE - CLICK ON THE "ADD CHILD" BUTTON IF REGISTERING MORE THAN ONE CHILD, AND FILL OUT THE INFORMATION FORM FOR EACH.

Parental Consent and Medical Information

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  • I, the undersigned parent or guardian of the minors listed above, do hereby give permission for our (my) child(ren) to attend Vacation Bible School activities sponsored by Grace Evangelical Presbyterian Church. I waive any and all rights and claims of any nature I may have against Grace Evangelical Presbyterian Church and any organization connected with any of the events, their representatives, successors, and assigns for any and all injuries or damages of any nature which my child(ren) may suffer while taking part in any event. I will assume all risks of any kind that may befall my child(ren)t as a result of participation in any event. This waiver and release which includes all claims, demands, costs, losses, damages, attorney’s fees and liabilities shall be binding on my heirs, administrators and assigns and run in favor of Grace Evangelical Presbyterian Church. These authorizations shall remain effective through June 11, 2021.

  • I, the undersigned parent or guardian of the minors listed above, do hereby authorize adult workers with the children of Grace Evangelical Presbyterian Church to consent to any examination, x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital care which is rendered under supervision of any physician or surgeon licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. Further, as parent or guardian of the minors named above, I do hereby expressly consent that my son/daughter may receive emergency medical treatment from any physician, hospital, or other medical center without the necessity of first notifying me, and do further agree to hold blameless any physician, hospital or other medical center for rendering such services.

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    I have read the parental consent and the waiver & liability release agreement shown above, and understand the terms used and their legal significance. By Checking the "I agree" box, you are agreeing to the language in the Parental Consent Form. (Consent forms will be kept securely on-site during Vacation Bible School.)

  • *We will have a photographer taking pictures of children at VBS. A link to these pictures will be made available on the church website for viewing. These pictures will not be used for promotional or other media uses without your permission.

Child Information

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    Gender:

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  • Food Allergies/Special request (if any)

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Registering another? Click "Add" and fill out information for each additional participant.

You may add a maximum of 5

Registration Fees (Camp Wilderness must be payed separately online.)

Item Qty. Max Limit Price

1 Child

Type "1" in the text box to the right.

1 $20.00 each

2+ Children

If you are registering more than one child, type "1" in the text box to the right. Family fees (2+ kids) are $40/max.

1 $40.00 each
$9,999.99

Payment

Payment Method

  • Please make check payable to:
    Grace Evangelical Presbyterian Church
    3312 Calvin Dr
    Lawrence, KS 66049

Payment Summary



Register