VBS – Registration

Sand Lake Fellowship
June 24-28
5:30 - 9pm
3340 Raspberry Road
For more information please contact
Pastor Mark Haywood
(918) 413-1802
David Gamble
(907) 787-9215

Child Information

Select all that apply

Parent/Guardian Information

Address Line 1
Address Line 2
State or Region

Emergency Contact Information

Medical Information

Other Information

Waiver and Consent

I hereby give my permission for all the children listed above to ride the van, participate in activities, and attend Sand Lake Fellowship or any of the church related functions. I understand that my children will be under adult supervision. I further understand that submitting this registration, I release and hold harmless Sand Lake Fellowship and all other church related functions. By submitting this VBS Registration, I release and hold harmless its trustees, officers, employees, interns, and any volunteers from any liability, past or future, fully and completely. I authorize the staff or designated medical professionals and/or volunteers to administer emergency medical assistance if I cannot be reached.