2024 TOPC VBS: Everest

VBS 2024 - Everest
Twin Oaks Presbyterian Church

Come join us as we learn to conquer our challenges with God's Mighty Power!

All rising 4k-5th grade level children are invited to participate the week of July 15th-19th from 8:30 am - 11:35 am. The cost is $15 per child with a maximum of $45 per family. If you would like to volunteer, you can do so HERE.

PLEASE NOTE: Children MUST be 4 years old by August 1, 2024, in order to participate.

Child #1 First Name

Child #1 Last Name

Child #1 Gender

Male Female

Child #1 Date of Birth (Must be 4 by August 1)

Grade Child #1 (Entering Fall 2024)

Church Child #1 Attends (if none, type NA)

Additional Children

If you are registering more than one child, please complete each entry below for every child you are registering (even though it says "optional"). If you are only registering one child, please skip to "parent contact info."

Child #2 First Name

Child #2 Last Name

Child #2 Gender Male Female

Child #2 Date of Birth (Must be 4 by August 1)

Grade Child #2 (Entering Fall 2024)

Church Child #2 Attends (if none, type NA)

Child #3 First Name

Child #3 Last Name

Child #3 Gender Male Female

Child #3 Date of Birth (Must be 4 by August 1)

Grade of Child #3 (Entering Fall 2024)

Church Child #3 Attends (if none, type NA)

Child #4 First Name

Child #4 Last Name

Child #4 Gender Male Female

Child #4 Date of Birth (Must be 4 by August 1)

Grade Child #4 (Entering Fall 2024)

Church Child #4 Attends (if none, type NA)

Child #5 First Name

Child #5 Last Name

Child #5 Gender Male Female

Child #5 Date of Birth (Must be 4 by August 1)

Grade Child #5 (Entering Fall 2024)

Church Child #5 Attends (if none, type NA)

Parent Contact Info

Parent Name

This address will receive a confirmation email

Phone xxx-xxx-xxxx

Address

Medical Release Form

I / we, the parent(s) of above listed child(ren), do hereby grant to Twin Oaks Ministry staff the right and authority to make medical decisions and to obtain medical treatment for the child listed above in the event that an emergency medical situation arises while my child(ren) is on the premises of Twin Oaks Presbyterian Church. The undersigned agrees to hold harmless and by signing below fully releases Twin Oaks Ministry staff and Twin Oaks Presbyterian Church Corporation, any of their affiliates and any affiliated persons chargeable with any supervisory or any other responsibilities or liability, relating to emergency medical treatment. I / we, the parent(s), agree to be responsible for any emergency medical expenses involved in helping my/our child(ren).

Name of your Medical Insurance Company

Insurance Company Phone

Medical Insurance Policy/Group Number

Please list any allergy or medical condition (s) per child (if none, type NA)

Phone

Name of Emergency Contact

Phone of Emergency Contact

Name of person (s) completing this release

By clicking

I/we agree with this Medical Release Form

Complete Registration & Pay

Choose: $15/child, $45 Max/family

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

2024 TOPC VBS: Everest

Description

Please Fix the Following