VBS 2019 Dates: July 15-19 Times: 6:30-8:30 pm Cost: FREE SUNDAY Kick-OFF July 14, 2-4pm We are so excited to have your child join us for Vacation Bible School. Please read and fill out the form below. Backyard Vacation Bible School 2020 Online Registration Agreement* PLEASE READ THIS AGREEMENT CAREFULLY AS USE OF THE SERVICE CONSTITUTES ACCEPTANCE OF THESE TERMS AND CONDITIONS. IF YOU DO NOT AGREE, DO NOT REGISTER. Online registration for this event may only be completed by an adult eighteen years old or older. The registration of a child under thirteen years old must be completed by that child's parent or legal guardian. I agree I do not agree Date & Location you are registering your child for7/24 ---120 Bennett Drive7/31--- Hammaker Street Greenspace8/7-- Catoctin Highlands Playground-- Emmitsburg RoadDue to COVID-19, registration is limited to 15 children ONLY. Child's Name-1* First Last Child 1 Birthdate* Date Format: MM slash DD slash YYYY Child 1- Last grade completed*Kindergarten1st2nd3rd4th5thChild's Name-2 (Only if have more than one child to register) First Last Child 2 Birthdate (if applicable) Date Format: MM slash DD slash YYYY Child 2- Last grade completeKindergarten1st2nd3rd4th5thChild's Name-3 (if registering 3 children) First Last Child 3 Birthdate (if applicable) Date Format: MM slash DD slash YYYY Child 3- Last grade completeKindergarten1st2nd3rd4th5thParent/Guardian Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Parent/Guardian Primary Phone*Parent/Guardian Secondary PhoneParent/Guardian Email* Allergies/Health information/Special NeedsPlease provide us the appropriate information. Leave blank if not applicable.Emergency Contact #1* First Last Emergency Contact #1 Phone*Emergency Contact #2 First Last Emergency Contact #2 PhoneMay we photograph your child? Images may be used in end of program video/on our church website.* Yes No If you are a member/regular attender at a different church, where do you attend?Name of Adult who will be picking up child*COVID-19 Waiver* I agree to not hold FBC Thurmont, Catoctin Highlands HOA or its members, et al. liable for any illness or injury By clicking "register/submit" below, you are acknowledging that an inherent risk of exposure to COVID-19 exists in any public place where people are present. By attending the Backyard VBS, you and any guests voluntarily assume all risks related to exposure to COVID-19 and agree not to hold First Baptist Church of Thurmont (FBC Thurmont) or any members thereof liable for any illness or injury.