Registration Form

Parent/Guardian of a Minor Consent to Hold Harmless Form

I, being the parent or legal guardian of the minor named below, have been informed of the Vacation Bible School sponsored by First Christian Church and hereby give my consent for my minor child to participated in this activity.  I understand that all reasonable safety precautions will be taken by the leaders of this activity, and that the possibility of an unforeseen hazard does exist.  I further agree not to hold First Christian Church, their leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the minor listed on this form.

Parent/Guardian Consent to Treat a Minor

I, being the parent or legal guardian of the minor named below, do consent to any x-ray, anesthetic, medical, surgical, or dental diagnosis or treatment that may be deemed necessary for my minor child.  I understand that all efforts will be made to contact me prior to treatment.  In the event I cannot be reached in an emergency, I give permission to the activity leader to make the decisions necessary for treatment.  Should there be no leader available, I give permission to the attending physician to treat my minor child with the understanding that all of the providers attending to my child will take all reasonable safety precautions during their care.

Further, as parent or legal guardian, I am responsible for the health care decisions for my minor child and agree that my insurance plan is the primary plan to pay for the dental, medical, or hospital care or treatment that is given to my child.  Any policy of the churches or organizations sponsoring this event will be used as the secondary coverage.

Promotional Photo/Video/Social Media Consent

I hereby give consent to First Christian Church leaders, employees, and volunteers to take photos/videos of my child and use them in VBS related meetings and/or promotional materials or postings.