Emerald Crossing at UNITY BAPTIST CHURCH

Family Information

Address

Street

Street 2

City

State/Province

Postal Code

Parent/Guardian First Name

Parent/Guardian Last Name

Primary Phone

Alternate Phone

Emergency Contact

Relationship to Student

Phone Number

Where do you currently attend church?

Nursery Needed?

Yes

Please indicate if you will need nursery services while you are serving or attending adult VBS.

Waiver Agreement

I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to me or my child as a result of participation in Vacation Bible School at Unity Baptist Church, July 27, 2026 to August 2, 2026. This release is intended to discharge in advance Unity Baptist Church of Prince George, Virginia, its officials, officers, employees, volunteers and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assignees.

I agree

Register for VBS

at UNITY BAPTIST CHURCH

Family Information

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Student Information