2024 Kids at the Ridge - Summer VBS Camp Registration

Event Date: July 22 - 26, 2024 : 9am - 12pm

Norb-E is coming to our Kids at the Ridge Program this July 22-26!

This program is for kids entering Kindergarten to Grade 5.

Together, we’re blasting off on an out-of-this-world mission to discover God’s glory! Experience the Bible in a hands-on way through interactive Bible stories, games and crafts. Snacks are provided.

*Please complete one registration form per child. Thank you.*

Child Information

Name:

Birthdate

Gender Male Female

Grade in September 2024:

Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6

Address

Phone

Parent / Guardian Information

Parent / Guardian 1: First Name & Last Name

Parent / Guardian 1: Cell Phone

Parent / Guardian 2: First Name & Last Name

Parent / Guardian 2: Cell Phone

This address will receive a confirmation email

Child Health Information

Health Card # (Reg # - 6 Digits):

Health Card # (PHIN# - 9 Digits):

Family Doctor Name:

Family Doctor Phone #:

Allergies:

• Please list any medications, physical, emotional, mental, behavioural concerns or limitations staff should be aware of (if none, leave blank):

NOTE: No medications will be left with the child unless for life threatening situations such as an Epi-Pen or Puffer/Inhaler. Any medication to be left in your child’s possession must be indicated in the section above and parents will be contacted to provide further info. Parents must be available for emergency situations.

In case of an emergency (If parents/guardians are not available):

Emergency Contact Name

Emergency Contact Phone #

Emergency Contact Relationship to Child

I give my permission for my child to be released at the close of the program to the following adults (please list, separated by commas):

Extra Special Afternoon Event
Thursday, July 25th - 12-2pm

On the Thursday afternoon of our VBS week, kids are welcome to stay and extend the fun. We will be offering an extra special add on afternoon event for the kids. Kids should pack along a lunch for this day (nut free please!) and we will provide the drinks.

Please indicate whether you would like to have your child stay for the afternoon session or if you will pick up at noon.
If you need to change your selection later on, changes can be made up to 1 week prior to vbs.

Thursday Afternoon Add-On:

Yes No Not Sure Yet

Permission Form and Consent:

1. I hereby authorize Whyte Ridge Baptist Church to take photographs of my child named in the application during camp activities and to display and use the photographs without charge solely for the purpose of promotional material in connection with the Summer VBS Camp Program. Children's names will not be posted on any materials or social media.

I agree I do not give permission

2. I/we, the parents or guardians named, authorize one of the Whyte Ridge Baptist Church Ministry Staff to sign consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above.

I agree

3. I/we, the parents or guardians named, undertake and agree to indemnify and hold blameless the Ministry Staff, Whyte Ridge Baptist Church, its Pastors and Board of Church Management from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of the Whyte Ridge Baptist Church, as well as of any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in or traveling to and from events of the Whyte Ridge Baptist Church.

I agree

4. Whyte Ridge Baptist Church is collecting and retaining information for the purpose of enrolling your child in our programs, to assign the student to the appropriate classes, to develop and nurture ongoing relationships with you and your child, and to inform you of program updates and upcoming opportunities at our church. This information will be maintained permanently as it is a requirement of our insurance company and legal counsel. If you wish Whyte Ridge Baptist Church to limit the information collected, or to view your child’s information, please contact us.

I agree

By entering my name, I confirm the above information is accurate and that I agree with the Conditions of Enrolment as stated.

Date: (MM-DD-YYYY)

Registration Fees:
$40 - Per Child
$100 - Per Family (3 or more children)

Family Rate Note: Families with 3 or more children attending our program can opt to pay the family rate on the first child's registration form and then select the option "family rate already paid" for the addition child registrations.

Payment (Paypal)

Cheques can be made payable to Whyte Ridge Baptist Church and dropped off at the church office / mailed to 2405 McGillivray Blvd, Winnipeg MB R3Y 1G6. $15 nonrefundable fee for cancellations after June 30, 2024.

Our desire is that all children are able to attend a camp. Please contact the church concerning financial assistance or payment options.

2024 Kids at the Ridge - Summer VBS Camp Registration

Description

Please Fix the Following