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DVBS Registration Form

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DVBS Registration Form

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First Name*
Last Name*
Address*
Birthday*
Age*
DVBS is a free five-day event for 3-12 years old
PARENT/GUARDIAN DETAILS
Name of Parent 1*
Contact number*
Name of Parent 2*
Contact number*

EMERGENCY/AUTHORISED PERSON CONTACTS
In case of an emergency, we will contact the parent/guardian first. If contact is unsuccessful, we will contact the following people listed below.
Contact 1
Contact 2
Name*
Name*
Contact Number*
Contact Number*
Relationship to child*
Relationship to child*

CHILD MEDICAL INFORMATION
Does your child suffer from any allergies?*
- Yes
- No
If yes, please provide relevant details including your child's allergy, side effects, treatment and action
Does your child suffer from anaphylaxis?*
- Yes
- No
If yes, please provide relevant details including, side effects, treatment and action
Does your child take medication or treatment on a regular basis?*
- Yes
- No
If yes, please provide relevant details below
Please speak to the Children’s Ministry Coordinator if your child will need to take any medication during the period of DVBS. Medications are to be supplied with the child’s details clearly labelled.

DAILY VACATION BIBLE SCHOOL REGISTRATION PERMISSIONS
PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING
PLEASE ASK IF THERE IS ANYTHING IN THIS DOCUMENT THAT YOU ARE UNSURE OF.
I give permission for my child:

• To participate in all the activities CLG’s Daily Vacation Bible School has to offer such as
singing, dancing, games, arts and craft, snacks etc.

• For photos and video footage to be taken of my child for the purposes of DVBS which will
be used to show the activities of the day, content of the event and announcements.

• For photos and video footage of my child to be used on the CLG website, CLG social media
and other internet purposes, such as advertisement of future DVBS.

• To be picked up at the end of each day by the people I have authorised below.

• To be given food and drink during the period of DVBS
Signature*
Print name*
Date*

AUTHORIZED POEPLE TO COME PICK UP CHILD AT THE END OF THE DAY
Authorized person 1*
Authorized person 2*
Date of Birth*
Date of Birth*
Number*
Number*
How did you find out about CLG’s Daily Vacation Bible School? Please tick that apply*
- Select All
- Local School – please advise name of school:
- CLG Advertisement
- Word of Mouth/Family/Friends
- Social Media (Facebook etc.)
- Internet Search
- Others. Please advise:
Specify here

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CLG in God’s heart is a Spirit-filled and Spirit-led community of believers sold out to serving the cause of Christ to transform and empower lives with the gospel of Jesus around the globe. It is a supernatural church which brings Heaven to earth and thrives on supernatural provision. It is a church committed to winning every man, woman and child to and for the love and glory of the Lord Jesus Christ.

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