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WAIVER OF LIABILITYWAIVER OF LIABILITY
Vacation Bible School
Terry Parker Baptist Church
7024 Merrill Road
Jacksonville FL 32277
Information we need to know (e.g., medication, food allergies):
Parent/Guardian’s Name (if Attendee under 18):
Street Address Line 2
State / Province
Postal / Zip Code
Parent/Guardian’s Home/Work Phone:
Please enter a valid phone number.
Whom do we call in the event of an emergency?
I, the above listed Attendee (if at least 18 years of age), or I, the above listed Parent orLegal Guardian (if the Attendee is under 18 years of age), hereby give legal consent forthe Attendee to participate in the above specified activity as held by Terry Parker BaptistChurch (hereinafter referred to as TPBC).I hereby release TPBC and any employee or volunteer from any liability claims ordemands for personal injury, illness, expenses, or loss that may occur as a result ofparticipation in this activity, or lack thereof, including transportation for the event. Iassume all risk and I have medical insurance to cover the Attendee in case of sicknessor injury.I give TPBC, and any of its employees or volunteers, permission to give the Attendeeany medical care that may be necessary.
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