Please describe your child's type of disability (i.e., child who is deaf or hard of hearing, child who is visually impaired, child who uses a wheelchair or crutches).

1. First Baptist Church Alexandria (FBCA) VBS/Children's Ministry will notify the parent/legal guardian or alternate contact whenever this child becomes ill. The parent/legal guardian or alternate contact agrees to pick the child up as soon as possible after notification.
2. Parent/Legal Guardian agrees to inform FBCA VBS/Children's Ministry within 24 hours (or the next business day) if a child or any member of the household has developed a reportable communicable disease (e.g. COVID-19, flu, strep throat, chicken pox, head lice, pink eye, etc.).

In consideration of my child's participation in the First Baptist Church of Alexandria's Vacation Bible School Program, I hereby release, to the fullest extent allowable by law, First Baptist Church of Alexandria, its employees and volunteers ("releasees") from liability for any accident or injury to my child so long as such injury is not the result of gross negligence or willful actions/omissions of the releasees.

I, the parent/legal guardian of the above-named child do hereby authorize First Baptist Church of Alexandria's VBS/Children's Ministry to provide or arrange for the provision of first aid or emergency treatment to my child in the event of any accident, injury, or illness and give permission for additional medical attention should the need arise. I further consent to the treatment of minor injuries and illness, or treatment in the case of a medical emergency, by any member of the medical staff and licensed emergency room staff of any licensed general hospital.

It is understood that this authorization is given in advance of any specific diagnosis or treatment and given to provide authority and power to render care to which the aforementioned medical provider(s) in the exercise of their best judgement may deem advisable. Efforts shall be made to contact the undersigned prior to rendering treatment, but treatment will not be withheld if the undersigned cannot be reached. This authorization remains in effect from July 15, 2024 - July 19, 2024.

During the 2024 "Breaker Rock Beach" Vacation Bible School (VBS) at First Baptist Church of Alexandria, volunteers will take photographs of the children to use for art projects, the Family Worship Rally video, classroom decor, and church publicity. I hereby give permission for my child to be photographed/videotaped during the VBS hours and/or events and for those photos/videos to be used as described above.

I certify that I have read and agree to all the above information on this form, and that I am the parent or legal guardian of the child named above.

For us to receive this registration request and for you to receive a confirmation email, MAKE SURE you click "COMPLETE BOOKING" when you have finished entering all information for each child attending VBS.