VBS 2017 REGISTRATION

VBS is July 10th through 14th from 5:45 pm to 8:45 pm.

Check-In is at 5:30 pm. Please be on time.

 

A suggested donation of $10.00 PER CHILD is appreciated. This fee is to help cover costs of T-Shirts, snacks & materials.  This donation would be accepted ON THE FIRST NIGHT OF VBS AT CHECK-IN.  You can pay cash or make check payable to Living Truth and put VBS REGISTRATION on the memo line.

 

Thank you!

Thank You, we have received your form.

CHILD REGISTRATION #1

FIRST & LAST NAME

GRADE ENTERING & DOB:

T-SHIRT SIZE

FOOD ALLERGIES/MEDICAL CONDITIONS

Name of one friend child would like to have in their crew:

CHILD REGISTRATION #2

FIRST & LAST NAME

T-SHIRT SIZE

GRADE ENTERING & DOB

FOOD ALLERGIES/MEDICAL CONDITIONS

Name one friend child would like to have in their crew

CHILD REGISTRATION #3

FIRST & LAST NAME

T-SHIRT SIZE

GRADE ENTERING & DOB

FOOD ALLERGIES/MEDICAL CONDITIONS

Name one friend child would like to have in their crew.

PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACTS:

Emergency Contact Name & Phone Number

Person(s) authorized to pick up my child (Photo I.D. required):

Release of Liability

I do hereby release Living Truth Christian Fellowship and any of its members or leaders from any and all liability in the event of personal injury or accident involving my child(ren) during this event.  Furthermore, I fully waive any rights to any reimbursement of medical and other expenses incurred due to any such injury or accident.  I hereby authorize and consent to any medical examination and/or treatment deemed necessary under the general or specila supervision of nay member of a professional medical and/or emergency room staff.  It is understood that this authorization is givne in advance to provide authority and power to render care which the aforementioned medical professionals in the exercise of their best judgment may deem advisable.  It is understood that effort shall be made to contact me prior to rendering treatment to my child(ren), but that said treatment will not be withheld if I cannot be reached.  In such case, I authorize the church to summon a doctor or health-care professional to provide necessary medical services, and agree in advance to pay for any expenses incurred in this treatment.  This authorization is given pursuant to the porvisions of section 25.8 of the Civil Code of California.


Photography & Video Release 

I also understand that my child(ren) may be photographed or videotaped during this event for the purpose of inclusion in a slide show presentation which may be displayed at the event's closing program, as well as on the website of Living Truth Christian Fellowship.


Parent/Guardian Signature

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