VBS

Vacation Bible School

Get ready to spark imagination and kick creativity into high gear at Spark Studios. At VBS this summer, kids will learn that God’s creativity didn’t stop in Genesis. The Master Artist is working to redeem, reclaim, and transform us–His creation–to the design He planned for us. VBS will be July 11-15, 2022. Preschool - 1st grade will be 8:45AM-12PM every day. 2nd - 5th grade will be 8:45AM-12PM Monday, Tuesday, and Friday. On Wednesday and Thursday 2nd - 5th graders will be going on afternoon field trips and will dismiss at 3PM.

Field trips are as follows:

	Wednesday July 13	Thursday July 14
*2^nd Grade*	Eldorado Frontier	Swimming
*3^rd Grade*	Eldorado Frontier	Swimming
*4^th Grade*	Swimming	Get Air
*5^th Grade*	Swimming	Get Air

The cost for the week is $30 for preschool - 1st grade and $55 for 2nd - 5th grade. All registrations include a VBS t-shirt. You must register by June 15 in order to guarantee your shirt size.

We hope you’ll join us!

If you have any questions, please feel free to contact Meghan Brearley, Children’s Ministry Director, at 562.708.9261 or meghan@lbac.org.

Child Information
Please note: One child per registration form
First Name*
Last Name*
Grade (Fall 2022: Grade the child will be in next year)*
Note: If grade is not available, class is currently full. Email meghan@lbac.org for more information.
- Preschool (Ages 3+ & Potty Trained)
- Third Grade
- Kindergarten
- Fourth Grade
- First Grade
- Fifth Grade
- Second Grade
**NOTE: Parents of 4th and 5th grade students will need to complete a Get Air waiver (linked in VBS Confirmation Email) in order for your kids to participate in the Get Air field trip.
Date of Birth*
Gender*
- Boy
- Girl
Address*
Street Address City State ZIP Code
Main Phone*
Is this number a Cell Phone?*
- Yes
- No
Are you willing to receive SMS Messages (Text Messages)?*
Note: Standard Text Messaging Rates Apply
- Yes
- No
T-shirt Size*
***Note: Sizes are not guaranteed for registrations AFTER June 15, 2022.
- Youth XS
- Adult S
- Youth S
- Adult M
- Youth M
- Adult L
- Youth L
- Adult XL
- Youth XL
- Adult XXL
- Adult XXXL
Parent Pick Up*
- My child will be picked up in the Sanctuary
- My child may walk home when dismissed (Note: No loitering outside property)
Is this your first time attending VBS at LBAC?*
- Yes
- No
How did you hear about LBAC VBS?
Parent Information
Parent Name (Primary Contact)*
Note: This parent will be approved to pick-up the student
First Last
Parent Name
Note: This parent will be approved to pick-up the student
First Last
Email*
Enter Email Confirm Email
Church You Attend
Parent's Cell Phone
Are you willing to receive SMS Messages (Text Messages)?*
Note: Standard Text Messaging Rates Apply
- Yes
- No
Medical Information
Does the student have any Allergies, Disabilities, Medications, or Other Health Concerns?*
- Yes
- No
Allergies / Disabilities / Medications / Other Health Concerns*
Health Insurance Provider
ID/Policy #
Phone Number of Medical Center / Physician
Physician's Name
Emergency Contact Information (Other Than Parent)
Name*
Note: This person will be authorized to pick-up your child.
First Last
Phone*
Relationship*
My child is also allowed to be picked-up by this person:
First Last
My child is also allowed to be picked-up by this person:
First Last
My child is also allowed to be picked-up by this person:
First Last
My child is also allowed to be picked-up by this person:
First Last
Parental Authorization & Liability Waiver
Only the child's parent or legal guardian may sign this release. Please read the following statement(s) carefully and check the boxes below. All minors are required to have a parent or guardian's signature to attend The Long Beach Alliance Vacation Bible School. By checking the boxes on this electronic form you are agreeing to these written terms and conditions.
I(we) the undersigned, acknowledge participation in, and/or give permission for, my(our) minor child to participate in Vacation Bible School (VBS) provided by Long Beach Alliance Church July 11, 2022 – July 15, 2022. I(we) the undersigned confirm I(we) am(are) legally 18 years or older and sign on behalf of myself(ourselves) and on behalf of my(our) child.*
- Yes, I confirm and agree with these terms, and am signing this acknowledgement voluntarily.
I(we) am(are) the parent(s) or legal guardian(s) of the minor listed above and grant my(our) permission for him/her to fully participate in Long Beach Alliance Church VBS events and activities. These activities include, but are not limited to, being transported in church, chartered, and chaperone vehicles to and from event destination(s); swimming in off-site pools; competitive and strenuous group games; ice skating; inflatable obstacle courses, inflatable toys; lifeguard monitored beach swimming and activities; swings and playground equipment; water balloon games; squirt gun and water spraying activities, and large group Earthball, and volleyball competitions. I(we) understand that my(our) child may be photographed or videotaped during activities and that these photos/videos may be used in promotional materials published by Long Beach Alliance Church.*
- I(we) hereby certify that I(we) have read and clearly understand these terms and that this authorization/waiver/covenant is being executed voluntarily.
I(we) understand the Long Beach Alliance Church VBS staff, volunteers, and leaders will make every attempt to contact me as soon as possible in the event an emergency arises. If contact cannot be made, I(we) authorize the Long Beach Alliance Church VBS staff, volunteers, and leaders to provide medical care, and if necessary, take my child to a doctor or medical facility. I(we) also authorize medical treatment recommended by medical staff and I(we) assume responsibility for all medical costs.*
- I(we) hereby certify that I(we) have read and clearly understand these terms and that this authorization/waiver/covenant is being executed voluntarily.
I(we), on behalf of my(our) child, myself, my children, my assigns, and my estate, assume the risk and promise to release from liability and hold harmless for personal injury or sickness and/or damage to personal or public property resulting from my(our) child’s participation, Long Beach Alliance Church, its officers, Governing Board, Elders, agents, employees, and/or volunteers for any and all claims for injuries, causes of action, or liability related to my and/or my minor child’s participation in any Long Beach Alliance Church VBS onsite or offsite activity. This release does not apply to intentional and/or willful acts of misconduct by Long Beach Alliance Church or any of its officers, Governing Board, Elders, agents, employees, and/or volunteers. I(we) agree to indemnify and hold harmless the Long Beach Alliance Church, its officers, Governing Board, Elders, agents, employees, and/or volunteers for any liability incurred or property damage/loss sustained by Long Beach Alliance Church as the result of the negligent, willful, or intentional conduct of my child, including expenses attendant thereto.*
- I(we) hereby certify that I(we) have read and clearly understand these terms and that this authorization/waiver/covenant is being executed voluntarily.
Registration Payment
Preschool Student*
Price:
Kindergarten Student*
Price:
First Grade Student*
Price:
Second Grade Student*
Price:
Third Grade Student*
Price:
Fourth Grade Student*
Price:
Fifth Grade Student*
Price:
Total
Total
$0.00
To pay via Cash or Check, click "Continue to Payment" and wait until you are directed to the Paypal Site before closing your browser. Please bring your cash or check payment to the LBAC Office during office hours.
To pay via Paypal (Credit or Debit), click "Continue to Payment" to be directed to Paypal.
Registration is not confirmed until payment has processed and you have received your Confirmation Email.

Save and Continue Later

Vacation Bible School

Child Information

Parent Information

Medical Information

Emergency Contact Information (Other Than Parent)

Parental Authorization & Liability Waiver

Registration Payment

Total

To pay via Cash or Check, click "Continue to Payment" and wait until you are directed to the Paypal Site before closing your browser. Please bring your cash or check payment to the LBAC Office during office hours.

To pay via Paypal (Credit or Debit), click "Continue to Payment" to be directed to Paypal.

Registration is not confirmed until payment has processed and you have received your Confirmation Email.

Long Beach Alliance Church

New Here?

Explore