Bethel Prescott Valley - VBS 2026 Registration

VBS Operation Arctic 2026 Registration - Bethel Church Prescott Valley. June 22-26, 9A-12P

Section 1 -- Parent / Guardian Information

First Name

Last Name

Email

Phone Number

May we Text to the above number?

Yes

No

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Home Church if applicable

Emergency Contact Information

First Name

Last Name

Relationship to child

Phone Number

Other adults authorized to pick up my child(ren) - list name(s) and relation to child(ren)

First Name

Last Name

Age

Birthdate

Grade (Spring 2026)

Allergies or Medical Conditions - Please Describe

If Medications are required during VBS, please describe.

Special Needs / Notes for Teachers

Photo / Video Permission

Yes, my child may be included

No

Medical Treatment Authorization and Understanding
I understand that I will be notified in the case of a medical emergency. However, in the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event that my child is injured or becomes ill.

I understand that Bethel Baptist Church will not be responsible for medical expenses incurred solely on the basis of this authorization.

Medical Treatment Authorization and Understanding

I agree to the above Treatment Authorization and Payment Responsibility

VBS Operation Arctic 2026 Registration - Bethel Church Prescott Valley. June 22-26, 9A-12P

Sunday Morning Schedule

Join Us this Sunday