If different from above, enter the name you wish to have your child addressed by their leaders below:
Enter grade below for the 2025/26 school year:
School
*
Select Option
Not in School
Blumenfeld School
Border Valley School (Reinland)
Ecole Elmwood School (Altona)
Emerado Centennial School
Hochfeld School
Homeschooled
J.R. Walkof School
Manitou Elementary School
Maple Leaf School (Morden)
Miami School
Minnewasta School (Morden)
Ecole Morden Middle School
Parkland Elementary School
Pineridge Elementary School
Plum Coulee School
Prairie Dale School (Schanzenfeld)
Prairie Crossroads School
Roland School
Rosenfeld School
Southwood School (Schanzenfeld)
Valley Mennonite Academy (Chortitz)
W.C. Miller Collegiate (Altona)
École West Park School (Altona)
Winkler Elementary School
Other (please indicate below)
Parent/Guardian Information
Please enter your phone numbers below with dashes, ex. 000-000-0000
Emergency Contact (if Parents/Guardians are not available)
Authorization & Medical Consent
If you answered yes, please specify below:
Consent and acknowledgement of Risk:
I hereby consent to the participation of my child in this supervised activity.
While every precaution is taken for the safety and good health, some activities carry with them the inherent risk of personal injury beyond the risks associated with many of the recreational activities at Winkler Mennonite Brethren Church (WMBC). I understand and accept these risks and agree that by allowing my child to participate in those activities, he/she may be taking part in a recreational activity that presents the potential for personal injury.
I, the parent or guardian named below, authorize the director or one of WMBC’s personnel to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment, or procedures for the participant named above.
I, named below, undertake and agree to indemnify and hold blameless WMBC, it’s personnel, it’s directors and board form and against any loss, damage, or injury suffered by the participant as a result of being part of the activities of WMBC, as well as any medical treatment authorized by the supervising individuals representing WMBC. This consent and authorization is effective only when participating in or traveling to events of WMBC.
I give permission for videos and photos of my child to be used in WMBC for the website, newsletters, digital announcement, social media, and other promotional material. I agree they can be viewed by anyone but no identifying information will be displayed without consent.
Video/Photo Release
*
Select Option
I agree
Do not use my childs videos/photos
Would you like to receive email updates regarding the VBS programming at WMBC for 2025?
WMBC is collecting and retaining this info in order to enroll your child in our program and to assign your child to appropriate groups. Content about your children will be provided to Group Leaders for allergy and medical information. If you wish to limit the information please contact us.
I have read, understood, and agree with the above.
To run VBS, many hands are needed to make it work well and safely. Consider how you are able to support the VBS program and click on the following options that would work well for you:
