Bulletin Plus :: Church Form

2024 Children's Festival Registration Form

Monday, June 3rd - Wednesday, June 5th

Island Grove Park East Pavilion

Age limits for this year are as follows: 5 years of age (before June 3rd AND going into kindergarten) through 12 years of age (having just finished or going into 6th grade) in the fall.

Please take a moment to read through the attached Parent Letter below:

Child's First and Last Name

Age

Date of Birth

Grade in September

Allergies/Medical Information

Child's First and Last Name

Age

Date of Birth

Grade in September

Allergies/Medical Information

Child's First and Last Name

Age

Date of Birth

Grade in September

Allergies/Medical Information

Child's First and Last Name

Age

Date of Birth

Grade in September

Allergies/Medical Information

Parent(s)/Guardian(s) First and Last Name

Address

City, State Zip

Email

** Please Note: Drop off for children begins at 9:15am and pick up is at 12:00pm (Noon) **

RELEASE OF LIABILITY & PERMISSION FOR EMERGENCY MEDICAL TREATMENT

I hereby request that my child(ren) be permitted to participate in all activites, to include various indoor and/or outdoor activities. I hereby agree to release (Calvary Chapel Greeley), their employees, volunteers, and agents from any and all liability, which may arise from any such activity.

In the event my child becomes ill or injured while participating in activities, and requires medical treatment, permission is hereby given to administer first aid for his/her relief or to obtain whatever medical treatment necessary, including emergency medical treatment by paramedics.

I understand that (Calvary Chapel Greeley) cannot be responsible for the supervision of children beyond the scheduled times.

I agree to the Release of Liability for Emergency Medical Treatment above

I Agree

Signature of Parent/Guardian

Clear Signature

Phone

Emergency Contact

Phone