Vacation Bible School Registration

Parental Consent I hereby give my consent that any necessary treatment may be given to my child by medical personnel in case of an accident or illness while at VBS, in town or in route to or from All Saints’ Episcopal Church in Russellville. I understand that payments for medical care will be my responsibility. I also do hereby release All Saints’ Episcopal Church or any of it's agents from any claim of liability arising their normal duties as sponsors during VBS. Do you agree to the medical release?
Parental Consent I understand as a participant, my child may be photographed or videotaped during VBS activities and these photos/videos may be used for promotional purposes with All Saints’ Episcopal Church. Do you agree to the disclaimer of media?
Child's Name of Consent: *

First Name Last Name
Parent's Name: *

First Name Last Name
Date:

Month Day Year Hour Minutes AM/PM Option
By submitting this form, I give consent to All Saints' Episcopal Church of the child(ren) above
Should be Empty:

Registration Form