Vacation Bible School - OKC Reformed Presbyterian Church

JULY 15-17

FREE – The Incredible Race VBS!
Held at the Academy (1120 E. Hefner Road; OKC 73131). Features Bible stories, music, crafts, recreation, snacks and more. For children ages 4 through 6th grade. 1PM – 3PM.

Child's Name *

First

Last

Child's Gender *

Male
Female

Street Address *

City *

State *

Zip Code

Age/Grade *

Does your child have any allergies or medical or special needs? *

If yes, please list allergies, medical needs, or special accommodations.

Medical and Liability Release: I, having legal custody or being a legal guardian, hereby permit OKCRP and its leaders to act on my behalf in authorizing unexpected medical care while attending Vacation Bible School. In giving this consent, I recognize and understand that it may not be possible to contact me (although every reasonable attempt will be made) when immediate medical care is needed, and I authorize a physician, surgeon, dentist or other medical professional to exercise their professional judgement and assess the risks to choose the necessary treatment for the child mentioned. I also release OKCRP and its leaders of liability for any incidents that may occur and understand that I will be held liable and responsible for any costs or expenses that may be acquired if such medical services are needed. *

YES, I AGREE

Parent/Guardian 1 (Will Be Authorized for Pick Up) *

First

Last

Parent/Guardian 2 (Will Be Authorized for Pick Up)

First

Last

Other Person(s) Authorized for Pick Up

Emergency Contact 1 *

First

Last

Emergency Contact 1 Phone (xxx) *

Emergency Contact 2 *

First

Last

Emergency Contact 2 Phone (xxx) *

Comments

Email *

Comment

JULY 15-17 FREE – The Incredible Race VBS! Held at the Academy (1120 E. Hefner Road; OKC 73131). Features Bible stories, music, crafts, recreation, snacks and more. For children ages 4 through 6th grade. 1PM – 3PM.

JULY 15-17

FREE – The Incredible Race VBS!
Held at the Academy (1120 E. Hefner Road; OKC 73131). Features Bible stories, music, crafts, recreation, snacks and more. For children ages 4 through 6th grade. 1PM – 3PM.