VBS RegistrationYeeHaw VBS 2025 | July 23-25th We're so excited for VBS this year!Please enable JavaScript in your browser to complete this form.Child's Name *FirstLastBirthdate *Age *Grade Completed *AddressCity, StateParent(s)/Guardian *Home PhoneMobile Phone *We will call you when there is a question about your child’s health and/or in an emergency. Please provide contact information for a custodial parent/guardian who will be available via phone while your child is attending VBS. Email *Emergency Contact (Other than parent) *FirstLastPhoneSecondary NumberParent Signature for Emergency ContactMedical Conditions, Allergies & Reactions:Additional Info:Authorization *Yes, I agree and acknowledgeI agree that Glory Tabernacle Church staff and volunteers will not be held responsible for accidents or personal injury arising there from. I acknowledge that this information is correct and the child described has permission to participate in all VBS activities except as noted on this form. I understand that GTC has limited healthcare on site and that staff will call the indicated parent/guardian in an emergency, if questions about my child’s health may arise, and/or when my child is unable to continue because of injury or illness. I acknowledge that the program will handle medication as described and that information on this form will be shared with staff/volunteers on a need-to-know basis.Photo & Video Communication Release: *I authorize GTC to take the actions below.I DO NOT give permission for my child's photo, name or work to be published in an form my GTC.I authorize Glory Tabernacle Church to take and use photos and/or videos of my child in conjunction with any wording or artworks for the following purposes: *On display in the church *To share with other families if included with other children in the picture and/or video *On the church’s website: gtcconnect.org, Facebook or Instagram *In the church’s newsletter, any take home sheets, or announcements before worshipSubmit Event Info Date July 23-25, 2025 Location 4513 Pleasant Plains Church RoadWhiteville, NC 28472 Volunteer for VBS 2025 Learn more about VBS 2025 Time 6:00pm – 8:00pm have any questions? Name Email Address Message submit FollowFollowFollow