VBS 2026 Equip Form – July 6-10, 2026

Must be entering Grade 7, 8 or 9
First Name

Last Name

Street Address or Box #

City or Town

Province

Postal Code

Phone #

Email Address

Birth Date

Sex
FemaleMale

Church you attend regularly (leave blank if none)

Additional Information or Requests

CONSENT & WAIVER
For participation in VBS activities including: Sports, Slip and Slide & Bouncy Castle Activities
Parent or Guardian Name

Parent or Guardian Phone #

I, the undersigned parent or legal guardian of the above-named child, give permission for my child to
participate in the slip and slide and bouncy castle activities during the Osler Mission Chapel VBS program.
I understand that these activities involve inherent risks, including but not limited to: slipping, falling,
collisions with other participants, and other potential injuries. I acknowledge that while reasonable
precautions will be taken by the organizers, there is still a possibility of injury.

By signing below, I confirm that:
1) My child is in good health and physically able to participate in all activities associated with VBS.

2) I release and hold harmless Osler Mission Chapel, its staff, volunteers, and property owners from any liability,
claims or legal action arising from my child’s participation in this event.

3) I will support VBS staff by encouraging my child to follow all safety rules and instructions.

SIGNATURE
I certify that I am the legal parent or guardian of the child named above and that I have read and
understood this waiver and consent form. I agree to its terms voluntarily.
Please sign in the box below.