LBC Family Camp 2021 Form

Add child(ren) below

Child's Name

Boy (B) Girl (G)

Birthd Date

Last Grade Completed

Cost: $10 per family

Registration fee can be paid by check, cash or securely online HERE.

Please make checks payable to Lincroft Bible Church.
Lincroft Bible Church Medical & Photo Release From 2021
Name(s) of Child(ren) *
I give permission for my children to attend and to participate in the LBC Family Camp activities. In case of emergency, every effort will be made to contact me. However, if I cannot be reached, I give my permission to the staff at Lincroft Bible Church to secure the services of emegerncy personnel/licensed physician to provide the necessary care, including anesthesia for my children's well being.

I understand that Lincroft Bible Church and the LBC Family Camp staff are not held responsible for any monetary incurrence for said medical treatment.
Parent's Name *

First Name Last Name
Signature *

Clear
Date *

Month Day Year
Date
Permission to Use Photograph
I grant Lincroft Bible Church the right to take photographs of me and/or my family in connection with the LBC Family Camp. I authorize Lincroft Bible Church, its assigns and transferees to copyright, use, and publish the same in print and/or electronically.

I agree that Lincroft Bible Church may use such photographs of me and/or my family and for any lawful purpose, including publicity, illustration, advertising, and web content.

I have read and understand the above.
Parent's Name *

First Name Last Name
Signature *

Clear
Date *

Month Day Year
Date
Should be Empty:

Family Camp Registration July 26-29, 2021