Parent's Name:
*
Contact Phone:
*
Home Address:
*
City:
*
State:
*
Zip:
*
Parent's e-mail:
*
Will parents be helping with VBS:
*
Yes
No
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Child #1
Name:
*
Age:
*
Grade:
*
Name of a special guest your child is bringing to VBS:
Allergies or other medical conditions:
Child #2
Name:
Age:
Grade:
Name of a special guest your child is bringing to VBS:
Allergies or other medical conditions:
Child #3
Name:
Age:
Grade:
Name of a special guest your child is bringing to VBS:
Allergies or other medical conditions:
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Camp Waiver
I hereby represent that my registered children are in good health and may participate in rigorous physical activity, and I authorize Calvary Baptist Church to secure any emergency medical treatments necessary and waive and release Calvary Baptist Church, its agents and employees from any liability for any injuries or damages of any kind sustained by my children at Calvary's VBS. I further understand that the Calvary Baptist Church does NOT provide health insurance coverage for my children.
I have read and agree to the above Waiver
*
Yes
Initial agreement:
*
Enter the code as it is shown:
*
Submit
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