EOBC VBS Waiver Form 2025*

VBS Waiver Form 2025 Wednesday to Friday - July 23-25 East Olds Baptist Church 9 a.m till Noon

Please fill out this form for each family participating in VBS. Ages 4 to Grade 6
Participant Name*

First NameLast Name
Birthdate

DayMonthYear
Date
Grade entering in the fall
Participant Name

First NameLast Name
Birthdate

DayMonthYear
Date
Grade entering in the fall
Participant Name

First NameLast Name
Birthdate

DayMonthYear
Date
Grade entering in the fall
Participant Name

First NameLast Name
Birthdate

DayMonthYear
Date
Grade entering in the fall
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone
Please enter a valid phone number.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Please enter a valid phone number.
Please list any allergies or medical conditions
Who may pick up your child at the end of each VBS day?*

NameRelationship
NameRelationship
Payment of $10 per child or $20 per family will be accepted in person the first morning of VBS.

If you have any questions regarding the program contact Jody @ 403-507-9520
Should be Empty:

VBS Waiver Form 2025 Wednesday to Friday - July 23-25 East Olds Baptist Church 9 a.m till Noon