Bethia Cup VBS! Child Registration Form for June 22-24th

Bethia VBS Cup 2026 Registration

This form is used to sign up for VBS and includes transportation permission, medical permission, photography permission and Code of Conduct Sign off

"*" indicates required fields

I am registering for 2026 VBS*
Child's Name*
Please enter a number from 0 to 12.
MM slash DD slash YYYY
Address*
Parent 1 Name*
Parent 2 Name
Authorized Pick Up
I give permission to the following individuals to pick up my child from Bethia United Methodist Church from Bethia Cup VBS 2026. Please have a photo ID with you when picking up the registered child.
LIABILITY RELEASE: In consideration of Bethia United Methodist Church allowing the Participant to participate in children’s ministry activities, we (I), the undersigned, do hereby release, forever discharge and agree to hold harmless Bethia United Methodist Church, its directors, employees, volunteers and agents (collectively herein the “Church”) from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the Participant while involved in the activities We (I) the parent(s) or legal guardian(s) of this Participant hereby grant our (my) permission for the Participant to participate fully in children’s ministry activities, including trips away from the church premises. Furthermore, we (I) [and on behalf of our (my) minor youth-Participant(s)] hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein. Further, authorization and permission is hereby given to said church to furnish any necessary transportation, food and lodging for this Participant The undersigned further hereby agree to hold harmless and indemnify said Church for any liability sustained by said Church as the result of the negligent, willful or intentional acts of said Participant, including expenses incurred as a result thereof. MEDICAL TREATMENT PERMISSION: We (I) authorize an adult, in whose care the minor has been entrusted, to consent to any emergency x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital or emergency care facility. The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization. The undersigned warranted that we (I) have medical insurance coverage for my child. EARLY RETURN HOME POLICY: Should it be necessary for our (my) child to return home due to medical reasons, disciplinary action or otherwise, the undersigned shall assume all transportation costs and responsibility. TRANSPORTATION PERMISSION: The undersigned does also hereby give permission for our (my) child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities sponsored by Bethia. My child and I understand that SEAT BELTS SHALL BE WORN AT ALL TIMES during transportation. PHOTOGRAPHY PERMISSION: The undersigned acknowledges that photographs and/or videos of my child may be taken/recorded during ministry events and gives permission for use of those photographs and/or videos in church publications, displays and websites. By checking the accept box and submitting this form, you agree and understand that all participants are required to follow directions of Bethia UMC Staff, Volunteers, Parents and other adults assisting in ministry activities. Failure to do so, may result in early return home of the participant or inability to participate in future events.*
Medical Insurance*
Consent*
Clear Signature