VBS - Renew Church

VBS 2025 Registration
Limited Spaces Available!
Cash Payment Only! Payments can be made on Sundays at Renew Church or at the office during the week between 8:00 am - 5:00 pm.

*If a mandatory field is not applicable (ex. medications, allergies), write "NA" in the text box.

Parent Information

* Indicates required field

Parent Name *

First

Last

Phone Number *

Email *

Child Information

Child Name *

First

Last

Gender *

Male Female

Date of Birth *

Health Care Card Number *

Medications *

Allergies *

Support Needs *

Child Shirt Size *

Medium Large

Emergency Contact

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Phone Number *

Authorized Pick-Up

(If the above parent is not picking up your child. Authorized pickup person will need to provide picture ID.)

Authorized Pick-Up Name *

Authorized Pick-Up Relationship *

Authorized Pick-Up Phone Number *

Consents

Medical Authorization: In the event of a medical situation, we will contact the parents and or the emergency contact, if we are unable to reach the parent or emergency contact. I/we, the parent(s) or guardian(s) named above, authorize Young Climbers Childcare staff to consent for medical treatment, and to authorize any physician or hospital to provide medical assessment, treatment, or procedures for the participant named above. Photo Authorization: I/we, the parent(s) or guardian(s) named above, authorize Young Climbers Childcare staff to take videos and pictures during the VBC Camp. These videos and pictures will be used on the Young Climbers, and or Renew Church Website and marketing materials. I understand they retain the sole right to use the photos & videos. Acknowledgement & Assumption of Risk: I/we, the parent(s) or guardian(s) named above, understand that sporting activities may result in injury to my child. It is entirely my choice to allow my child to take part in this activity, and therefore, I accept and assume responsibility for any possible risk to my child by participating in VBS Camp. Release and Waiver of Liability: I/we, the parent(s) or guardian(s) named above, hereby acknowledge and release Renew Church, Young Climbers Childcare, employees, insurers from any and all claims, liabilities, or legal costs, damages, brought by myself, my children, arising in any way from participation by my child in the VBC camp. *

I agree

Submit

Renew Church
7328 144 St. Surrey, BC V3W 5S5

[email protected]
(604) 590-1508

A church family serving our community and the world, so all people find new life in Christ as we grow in loving God wholeheartedly and inspire others to do the same.

VBS 2025 Registration*Limited Spaces Available!*Cash Payment Only! Payments can be made on Sundays at Renew Church or at the office during the week between 8:00 am - 5:00 pm.