Wonder Junction at Wellspring Baptist Fellowship

Family Information

Parent/Guardian First Name

Parent/Guardian Last Name

Address

Street

Street 2

City

State/Province

Postal Code

Primary Phone

Alternate Phone

Name of Home Church (If applicable)

Emergency Contact

Relationship to Student

Phone Number

How did you hear about Wellspring's VBS?

Promotional Flyer

Facebook or other social media

Promotional Banner

Friend/Family Member

I attend Wellspring.

I have attended in previous years.

Other

Please list all individuals who have permission to pick up your child(ren)

By checking the box: *I (we), the undersigned parent(s) or guardian(s) of the child(ren) specified below, a minor, do hereby authorize adult volunteers of Wellspring Baptist Fellowship (name of church) as agent(s) for the undersigned, to consent to any medical or surgical care deemed advisable by any accredited physician or surgeon in an approved emergency clinic or hospital. *I further release from liability Wellspring Baptist Fellowship, and any of its ministries, leaders and Vacation Bible School support staff in the event of an accident and/or illness related to attending Vacation Bible School. Furthermore, the aforementioned are also released from liability while in route, during and returning from care from the above mentioned event. This agreement does not apply to claims for intentional misconduct or gross negligence. Medical Release

Please check this box if you do NOT authorize Wellspring Baptist Fellowship to publish photos of my child(ren) on any promotional or social media platform.

Drop Off

Drop Off: For your convenience, you may drop your child(ren) off in the drop-off lane under the canopy, or you may bring them in the main entrance.

Pick Up

Pick Up: Children must be picked up in person inside the main entrance at noon.

Register for VBS

at Wellspring Baptist Fellowship

Family Information

Address

Student Information