Superhero Central! August Vacation Bible School Registration Form

Posted on: January 22nd, 2014 by

REGISTRATION FOR August 2017 VBS IS OPEN

**Registration is on a first-come, first-served basis.**

Red-White-and-Blue-Cape-250Have you always wanted super powers? Wouldn’t it be fun if you could save the world?

At VBS: Superhero Central, we’ll learn about all the super powers we already have! Love, Friendship, Hope, and Faith all work together to make the world a better place!

Our days will be filled with lots of fun arts and crafts, games and playground time, cooking class and snack time.

Students will bring brown bag lunches. Gluten-free snacks will be provided.

August 21 – 25, 2017
NEW TIME: Drop-off at 9:00 AM; Pick-up at 2:00 PM
VBS: Superhero Central is open to children ages 3-8. Children must be toilet trained.

Rates:
Get one day free when you sign up for the whole week!
$30/day or $120/week for the first child
Family discount:
$20/day or $80/week for additional children

If this program is cost-prohibitive for your family, please reach out to Maddie Downer, our youth director, regarding scholarships at youth@needhamucc.org. Please put “VBS Scholarship” in the subject line.

Fields marked with a * are required

Please submit one registration form per child.


I hereby certify that I am aware of, approve of, and take full responsibility for the participation of the above named participant in The Congregational Church of Needham’s programs. Furthermore, I assume all risk of and financial responsibility for any loss or injury to the participant or others that may occur as a result of negligence or misconduct by the participant, and I release the Church, and its employees, volunteers, and other agents, from any and all responsibility and legal liability for loss, damage, or injury to the person or property of the participant which may be sustained during or as a result of participation in the church's programs.

In the event of an emergency, including illness, injury, or incapacity suffered by the participant during the course of the programming, I hereby authorize the Program Director, a chaperone, or any other adult leader to act as agent for me in consenting to any reasonably necessary X-Ray examination, medical, dental, surgical, or psychological diagnosis, treatment, and/or care, advised and supervised by a physician, dentist, surgeon, psychologist, or social worker licensed to practice under the laws of the state in which the services are rendered. I understand that I, or the applicable insurance carrier(s), will be financially responsible for any such emergency services. I expect that attempts will be made to contact me in the event of any such emergency.

 

On occasion, children’s photos may be posted on the Congregational Church of Needham’s website, social media (Facebook, Twitter, etc.) or used in its newsletter. This waiver will remain in effect for 18 months from the date signed or until otherwise revoked. I give my permission that my child’s photograph can be published on the church website, social media or newsletter.