VBS Starts Tomorrow!!! | Chemung Christian Fellowship

We’re looking forward to a great week at VBS! Register online today! If you call Meghan Miller at 607. 742. 0166 before 4:00pm on Monday, July 27, we will accept “walk-in” registrations for 1st-6th grade. Please call prior to registering your Pre-K or K student, as that group is almost full.

Child's Name *

First

Last

Street Address *

City *

State *

Zip Code *

Phone Number *

Email *

Grade in Fall 2020 *

Allergies

Please list any allergies to food or environmental items.

Parent's Name *

First

Last

Parent's Name

First

Last

Home Church

Emergency Contact Name *

First

Last

In case of emergency and the parent(s) listed above cannot be reached, we will contact this person.

Emergency Contact Phone Number *

Health Screening Notice *

I understand that a few days prior to the start of VBS I will receive a Health Screening Form by email. This form will ask about possible recent flu-like symptoms. I understand this form must be completed and returned prior to the start of VBS on Monday, July 27. If it is not completed, I understand that my child will not be able to participate in VBS at Chemung Christian Fellowship.

Your child's health and safety is of utmost importance to us. In addition to this Health Screening Form, we will be utilizing social distancing and enhanced cleaning protocols consistent with the CDC and NY Department of Health Guidelines for Religious Organizations and Day Camps.

Consent for Participation *

By registering my child for VBS, I give my permission for my child to participate in all VBS activities at Chemung Christian Fellowship (CCF). I also give my permission for my child's picture to be taken for a slide show. (Pictures may also be used on social media and the church website.)

Electronic Signature *

By typing my name I am electronically signing this registration form. This electronic signature shall be as valid as if it were handwritten.

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