VBS 2024 VBS 2024 Registration Date(Required) MM slash DD slash YYYY Parent/Guardian InformationParent's/Guardian's Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) Number of Children(Required)12345Child 1Child's Name(Required) First Last Child's Age(Required)3456789101112131415161718Grade(Required)Pre-KindergartenKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thList any special considerations or allergiesChild 2Child's Name First Last Child's Age3456789101112131415GradePre-KindergartenKindergarten1st2nd3rd4th5th6th7th8thList any special considerations or allergiesChild 3Child's Name First Last Child's Age3456789101112131415GradePre-KindergartenKindergarten1st2nd3rd4th5th6th7th8thList any special considerations or allergiesChild 4Child's Name First Last Child's Age3456789101112131415GradePre-KindergartenKindergarten1st2nd3rd4th5th6th7th8thList any special considerations or allergiesChild 5Child's Name First Last Child's Age3456789101112131415GradePre-KindergartenKindergarten1st2nd3rd4th5th6th7th8thList any special considerations or allergiesSignatureConsent(Required) I give permission for my child to be photographed during activities associated with UBC Vacation Bible School. I understand that said photos/videos may be used for the UBC VBS program and UBC website, and that my child’s name will not be used with the image.Consent(Required) I fully understand that my child must abide by all rules governing conduct and safety while attending UBC Vacation Bible School Program activities.Consent(Required) In the event of an emergency, or a situation that is reasonably considered to be an emergency, I, the parent/guardian give permission to Underwood Baptist Church (UBC) to seek and authorize emergency medical care to be given to my child named above. (For example; first aid, medication, anesthesia, or surgery.) This care may be given under whatever conditions are necessary to preserve life, limb, or well being of my dependent. UBC will make reasonable attempts to notify parents/guardians prior to authorizing any such emergency care.Enter Name For Electronic Signature(Required)CAPTCHA Δ VBS 2023