Child's Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Child's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone (in case of emergency) *

(###)

###

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Disclaimer *

I understand that during Westlake Church VBS, photos and videos of the children will be taken which will be made into a video montage that will be shown during the worship service on VBS Sunday (June 29, 2025). This service, which will include photos and videos of the children, will be live streamed and available on demand from the Westlake Church website. By allowing your child to attend the Westlake Church VBS, you are giving us permission to include him/her in pictures and video.

I understand