101 N Broad St. Shannon, IL 815-864-2779
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REGISTER FOR VBS
Vacation Bible School
Registration Form
Please Submit One Per Child
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Child Name- Please submit separate registration for each child
*
First
Last
Gender
*
Male
Female
Grade Entering This Fall
*
1st
2nd
3rd
4th
5th
6th
Please List Any Allergies
Other Things We Should Know About Your Child
Parent Name
*
First
Last
Address
*
Parent Phone Number
*
Email
*
Transportation
I will drop off my child
My child will ride the Lanark bus
COVID-19 Waiver
*
I have read and agree to the conditions below.
We are excited to have children attend our VBS. We are taking precautions to promote good health and hygiene. For the safety of all, we ask that those attending be healthy. If you have a fever, fatigue, dry cough, difficulty breathing, if you are sick, or have been around someone with COVID the last 14 days we ask that you not attend. I understand that COVID is in our State and Nation in ways no one fully comprehends; we cannot guarantee that children attending this activity will not be exposed to COVID while here at Shannon Baptist Church. I acknowledge that my child is in good health. I agree that my child may participate in all activities, I understand and accept the risk, and I intend by my signature a complete and unconditional release of Shannon Baptist Church for all liability to the greatest extent allowed by law.
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