VBS 2024 Camper Registration

VBS 2025 Camper Registration

For Rising 1st-6th Grades (25/26 School Year)
Parent/Guardian Name*

First NameLast Name
Cell Phone*

Area CodePhone Number
E-mail*
Emergency Contact Name*

First NameLast Name
Emergency Contact Cell Phone*

Area CodePhone Number
Is River Oak Your Church Family?

YESNO
Camper 1

First NameLast Name
Birth Date

MonthDayYear
Child's RISING grade for school year 2025/2026

1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade
If applicable, please explain any special needs, medical issues and/or allergies.
Someone on our team may call you to get more information so that your child has the best week possible at VBS.
Do you need to register another child?

YesNo
Camper 2

First NameLast Name
Birth Date

MonthDayYear
Child's RISING grade for school year 2025/2026

1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade
If applicable, please explain any special needs, medical issues and/or allergies.
Someone on our team may call you to get more information so that your child has the best week possible at VBS.
Do you need to register another child?

YesNo
Camper 3

First NameLast Name
Birth Date

MonthDayYear
Child's RISING grade for school year 2025/2026

1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade
If applicable, please explain any special needs, medical issues and/or allergies.
Someone on our team may call you to get more information so that your child has the best week possible at VBS.
Do you need to register another child?

YesNo
Camper 4

First NameLast Name
Birth Date

MonthDayYear
Child's RISING grade for school year 2025/2026

1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade
If applicable, please explain any special needs, medical issues and/or allergies.
Someone on our team may call you to get more information so that your child has the best week possible at VBS.
I, the undersigned parent or guardian of a minor, do hereby give an adult sponsor(s) in attendance with River Oak Church, Chesapeake, Virginia, the authority to secure any necessary medical treatment for my son/daughter in the event of an emergency due to sickness or accident at any scheduled activity or travel to and from such activity. I understand that, in the event medical treatment is required, every effort will be made to contact my family doctor and/or me. However, if neither can be reached or the situation demands immediate attention, I give my permission to sponsor(s) to secure the services of a licensed physician to provide the care necessary for my child’s well being. I do hereby release sponsors of River Oak Church from any and all claims, demands, actions or cause of action arising out of any damage or injury while participating in any VBS activity.*

I understand and accept these terms.
Name

First NameLast Name
By registering your camper(s) this gives permission for River Oak Church to photograph and video your child for ministry events and church promotional use. Your child's safety and security is of our utmost importance and we will protect names and detailed information of all VBS campers.
Bringing a friend? Have a cousin they need to be with? Not coming the first day? Or whatever else you would like to ask us or inform us about? 😊
Should be Empty:

VBS 2025 Camper Registration