Free summer program for kids

At CALVARY CHAPEL SANTA FE SPRINGS

Join us this summer!

Embark on the ultimate Alaskan adventure, where kids will explore awe inspiring landscapes, uncover timeless truth, and discover that Jesus is the faithful guide they can always trust!

Ages

5 Years - 6th Grade

Dates

July 14-18

Time

5:30 - 8:30pm

Location

Calvary Chapel Santa Fe Springs
12227 Florence Ave,
Santa Fe Springs, CA 90670

General

Child's First Name

Child's Last Name

Age

Date of Birth

YYYY

Home Church

Grade in 2025-2026 School Year

Allergies, Medical Conditions, Additional Notes

Name of Parent(s)/ Guardian(s)

Phone Number

(###)

###

####

Email Address

Emergency Contact

Name of Emergency Contact

First Name

Last Name

Relationship to Child

Phone Number

(###)

###

####

Photography Consent

By clicking “Yes” you grant Calvary Chapel Santa Fe Springs, its representatives, and employees the right to take photographs of your child in connection with the 2025 Vacation Bible School program. You authorize Calvary Chapel Santa Fe Springs, and its agents to copyright, use and publish the same in print and/or electronically. You agree that Calvary Chapel Santa Fe Springs may use such photographs of your child for any lawful purpose, including publicity, illustrations, advertising, and Web content. By clicking “No” you choose not to have your child’s photograph used in any form. Please be aware that group photos taken with your child in it, will have your child’s image blurred out. By clicking one of the two options below, you recognize that you have read and understand the terms above.

Photography Consent

Yes

Buddy Up

If you would like your child to be in the same group with a specific child or children (friend, relative, etc.) please list the names and grades of that child or children here. Please be aware that the children must be in the same grade group in order to be kept together. Groups are separated by grade as follows: Kindergarten-1st grade, 2nd-3rd grade, 4th-6th grade.

Name

Grade in 2025-2026 School Year

Name

Grade in 2025-2026 School Year

Name

Grade in 2025-2026 School Year

Name

Grade in 2025-2026 School Year

Consent to Treatment of a Minor and Waiver

This is to certify that I/we the Parent(s) or Guardian(s) of:

Child's Name

First Name

Last Name

Will inform my child’s VBS Leader of any physical or medical concerns. In case of emergency, I do hereby authorize Calvary Chapel Santa Fe Springs, its representatives and employees to act as agents to consent to any medical, surgical, or hospital care which is deemed advisable by, and is rendered under the general or special supervision of any physicians or surgeon licensed under the provisions of the Medical Practice Act of the State of California. This authorization is given pursuant to the provisions of Section 6910 of the Family Code of the State of California. I/We expressly waive any and all claims against Calvary Chapel Santa Fe Springs, its representatives, on account of injury or other damages that may be incurred by:

Child's Name

First Name

Last Name

Insurance Carrier

Account Number

Parent(s) or Guardian(s) Name

Consent

By checking the “Consent” box for this Registration Form, I am agreeing that this constitutes as a legal signature.

At CALVARY CHAPEL SANTA FE SPRINGS

Join us this summer!

Ages

Dates

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Location

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Calvary Chapel Santa Fe Springs