VBS 2019 REGISTRATION


VBS 2019 Poster
Click here for the VBS promo video!

Children must be 4 years old before August 12, 2019 in order to attend VBS. No exceptions.

Registration for grades 3-6 begins at 9:00 at Grant Road. If you require an earlier drop off time (8:30) for children in this age group, please send an email to vbs@hillsdaleregina.ca



*Child's Name:
*Child's Birthday:
*Gender:
*Age:
*Street Address:
*Province:
*City:
*Postal Code:
*Phone Number:
School child attends (if applicable):
Home Church (if applicable):
Allergies, other medical conditions or notes:
*Parent(s) Name(s):

EMERGENCY CONTACT DURING VBS


*Primary Contact
Name/Relation:

Phone #:


Secondary Contact
Name/Relation:

Phone #:



PARENTAL/GUARDIAN CONSENT FORM


(Please note that there is always a possibility that injury may occur while a child is attending VBS. Our team of volunteer staff will do our very best to care for a child in such a situation.)

  • I, the parent/guardian responsible for this child, release Hillsdale Baptist Church of any liability related to the child's participation in any or all of the activities (which may include inflatable jump apparatus such as a castle or slide) at the VBS events from August 12-16, 2019, held at 101 Munroe Place and 336 Durham Drive, Regina.

  • I also understand that Hillsdale Baptist Church retains the right to use, for church information and advertising purposes, photographs and video footage of children taken during VBS 2019.


*Your Full Name:
*Email:
Dated: