Join us for the ultimate Alaskan (or Labradorian) adventure where northern lights glow over majestic mountains, racing rivers, and glistening glaciers! As kids trek the tundra, they’ll explore how easy it is to lose sight of what’s true in our wild world today. Pointing them toward Jesus, True North VBS shows kids that he is a faithful friend we can always trust.

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Child's Information

Child's First and Last Name

Current Grade

Birthday

Year

Month

Day

Any friends they'd like to be grouped with, if possible?

Please list any allergies or health concerns

Is your child bringing any medications with him/her?

Does your child have any physical, emotional, mental, behavioural concerns or limitations that staff should be aware of?

Yes

If yes to the above, please provide details here

Child Healthcare Number

Parent/Guardian's First and Last Name

Phone

Address

Name of Emergency Contact

Emergency Phone

Confidentiality Agreement

I acknowledge that information received is confidential and is being gathered for the purposes of serving your Child while in the care of Glad Tidings Pentecostal Church, PAONL. Any medical information collected here serves to authorize Glad Tidings Church, and its staff and volunteers, to obtain medical assistance in emergencies.

Authorization to give medical treatment if necessary

I/we, the Parents or guardians, authorize the leader or one of the staff at Glad Tidings Pentecostal Church (PAONL) to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above. I/we, named below, undertake and agree to indemnify and hold harmless Program Personnel, Glad Tidings Pentecostal Church (PAONL), and its Leaders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of this church, as well as of any medical treatment authorized by the supervising individuals representing this Church/ Pentecostal Assemblies of Newfoundland and Labrador. This consent and authorization is effective only when participating in or traveling to events sponsored by Glad Tidings Pentecostal Church (PAONL).

Photo Release

Are you comfortable for your child to be photographed ONLY for VBS purposes? It will be used to recap the day and a slideshow will be shown at the closing night.

Photo Release

Yes

At Glad Tidings Pentecostal Church your child is a priority. Our goal is to ensure they are taught, shaped, safe, belong, and most importantly shown the love of God. Should you have any questions or concerns please contact Pastor Lisa at 944-3636. We are looking forward to an amazing week with your child(ren)!

Parent/Guardian Signature

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