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  • VBS "Shout" 2026

  • Child Information

  • Gender*
  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • If your youth has a fever, headache, or minor injury, do you consent to providing them medication without calling you first?*
  • Child Assumption of Risk, Waiver & Indemnity Agreement

    Assumption of Risk:
  • I understand and appreciate that Freedom International Christian Training Center's event, VBS "Shout" (hereafter referred to as the Event), in which I (or my child/children) will participate, involves inherent dangers, hazards, and risks which may be unknown to me.  I further understand that there are risks and dangers associated with the Event that can result in minor or serious injuries include, but are not limited to: unknown facility hazards or defects; and careless, erratic, or negligent acts by other attendees of the Event.

    I understand the risks and dangers of personal injury, disability, and/or death to me (or my child/children) as a result of participation in the Event. I acknowledge that I am solely responsible for determining my (or my child's/children's) suitability to participate in the Event. I agree to assume the full risk of injuries that may be sustained by myself (or my child/children) as a result of participating in the Event at Freedom International Christian Training Center.

    I further acknowledge that parts of the Event will occur over public roads and facilities open to the public and upon which hazards are to be expected. I acknowledge and represent that I (or my child/children) am in the good physical and mental health necessary to participate in the Event, as some of the activities associated with this event require strenuous exercise and various degrees of skill. I (or my child/children) share(s) responsibility for my (his/her/their) safety and will follow instructions, make reasonable decisions, and act responsibly.

    Freedom International Christian Training Center cannot ensure my (or my child's/children's) safety. I choose to (or allow my child/children to) voluntarily participate in the Event, despite all risks. I have explained these risks and dangers to my child/children attending the Event, and his/her/their participation is both willing and voluntary. Freedom International Christian Training Center will have no responsibility, liability, or consequence pursuant to my or my child's/children's action(s). I (and/or my child/children) have adequate health insurance necessary to provide for and pay any and all medical costs that may arise as a result of my (and/or my child's/children's) participation in the Event. I assume all inherent and other risks and accept responsibility for any property damage and loss and for any personal injury, illness, disability, emotional distress, and death that I (and/or my child/children) may suffer that arises out of my (or his/her/their) participation in the Event, whether described in this document or not.

    I understand that my execution of this Child Assumption of Risk, Waiver and Indemnity Agreement is a prerequisite for my (or my child’s/children’s) participation in the Event. In consideration of Freedom International Christian Training Center thereof, I agree to the following:


    Waiver and Release:
    I, (and/or on behalf of my child/children), agree to forever release and discharge Freedom International Christian Training Center from and agree not to sue Freedom International Christian Training Center for any and all liability or claims I (and/or my child/children) may have for any property damage and loss, personal injury, emotional distress, illness, disability, and death, related to my (or my child's/children's) participation in the Event, the use of any equipment or facilities in connection therewith. This release is for any claim, demand, and action of every name and nature, including breach of contract, fraud, or any other type of suit, and includes personal injury and property losses alleged to be caused by the negligence and/or gross negligence of Freedom International Christian Training Center to the fullest extent permitted by law.

    Indemnity:
    I agree to defend, indemnify (meaning to pay or reimburse any amount required to be paid, including without limitation, attorney's fees, judgment costs, and investigation costs), and hold Freedom International Christian Training Center harmless from all claims, causes of action, liability, losses, or damages for any property damage, property loss or theft, personal injury, disability, death, or other loss brought by or on behalf of me, my child, a family member, my estate, another participant or spectator, or any other person arising from or relating to my (or my child's/children's) participation in the Event, including claims that Freedom International Christian Training Center was negligent.

    Photo Waiver:
    Freedom International Christian Training Center may take and use photographs, video, film, and other images of me (or my child/children) participating in or observing the Event. I waive any right of privacy, publicity, compensation, copyright, or other rights to those images, and I consent to Freedom International Christian Training Center using those images for promotional purposes.

    Clarifying Clauses:
    1. I am competent and have read this Agreement. I understand its contents, and I sign it voluntarily. I understand that I have given up substantial rights by signing it, including my rights and the right of my child/children to sue for damages, understand that I and/or my child/children can choose not to participate in the Event, and have signed it freely and without any inducement or assurance of any nature. I intend by this Agreement to assume all risks, waive all rights to sue, and release all liabilities and claims, and indemnify Freedom International Christian Training Center for any claims arising from my (or my child's/children's) participation in the Event.
    2. I understand that this Agreement has no expiration date and remains in effect at all times that I am (or my child/children) observing or participating in the Event and will be binding on me, my family members, heirs, assigns, executors, representatives, and estate.
    3. I understand that this Agreement is intended to be as broad and inclusive as is permitted by the laws of the State of California . I agree that if any portion of this Agreement is held to be invalid, the balance notwithstanding, shall continue in full force and effect.
    4. This Agreement supersedes any and all previous oral or written promises or agreements regarding the contents herein. I understand that this is the entire agreement between Freedom International Christian Training Center and me and that it cannot be modified or changed in any way by representations or statements by any agent or employee of Freedom International Christian Training Center.

  • Medical Waiver

  • I understand that in the event my child/children require(s) medical or dental treatment during VBS “Shout” 2026, reasonable efforts will be made to contact me.

    In the event that I (or my child/children) become incapacitated during VBS “Shout” 2026, I hereby authorize Freedom International Christian Training Center to consent to X-ray, examination, anesthetic, medical, dental, or surgical diagnosis, treatment, and/or hospital care deemed necessary or advisable by a licensed physician. It is understood that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required. It is given to provide authority and power on the part of Freedom International Christian Training Center to give specific consent to the diagnosis, treatment, and/or hospital care, which, in the best judgment of a licensed physician, is deemed necessary.

    I authorize the use of first aid by Freedom International Christian Training Center if deemed necessary.

    I authorize the use of CPR if deemed necessary.

    I authorize Freedom International Christian Training Center to secure emergency medical care and transportation if deemed necessary.

    I agree to assume all costs of emergency care and transportation.

    To the best of my knowledge, I have listed above all of my (or my child’s/children’s) allergies, including food and medical allergies, medications being taken, medical problems, and other pertinent information. My child/children has permission to participate in all activities associated with VBS “Shout” 2026 except as noted by me in the space above.

    I CERTIFY THAT I HAVE READ THIS DOCUMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A CONTRACT, AND I SIGN IT OF MY OWN FREE WILL.

  • Child Code of Conduct and Rules 

    Parents, we’re excited to host your child for VBS Shout 2026! In order to help everyone have a safe and fun experience, please make sure you show this document to your child so they understand what is expected of them at VBS Shout 2026.
  • CODE OF CONDUCT

    While attending VBS Shout 2026, I will:

    RESPECT PEOPLE: I can honor God with how I treat others. I will show respect to everyone around me, including staff, leaders, volunteers, and other children. This includes both my actions and my words. I will listen when others are speaking and show gratitude for what others do for me.

    RESPECT PROPERTY: Being allowed to use what belongs to others is a privilege. I will take care of all facilities and property and will leave every location better than I found it.

    RESPECT MYSELF: I am responsible for the decisions I make. I will be a positive role model, obey all rules and instructions, and make wise choices.

    While attending VBS Shout 2026, I will not:

    BE A BULLY: Being mean or hurtful to others is wrong. Everyone should feel safe and welcome. I will not intimidate, harm, exclude, or act aggressively toward others. If I see bullying, I will report it immediately.

    BE NEGATIVE: My words should build others up, not tear them down. I will not gossip, speak unkindly about others, or say anything that could hurt someone.

    BE CARELESS: Activities are fun but require responsibility. I will not put myself or others in danger or take unnecessary risks.


    RULES

    Parents/Guardians: If your child breaks any of these rules, you may be contacted to pick them up immediately. No refunds will be given.

    Listen: I will obey leaders and staff at all times.

    Bullying: Bullying will not be tolerated. This includes harming, intimidating, isolating, or forcing someone to do something.

    Substances: No drugs, tobacco, vapes, e-cigarettes, or alcohol are allowed. Bags may be checked at check-in. Prescription medications must be in a clear bag and include a doctor’s note explaining their necessity.

    Clothing: No inappropriate clothing. This includes items with profanity or sexual/offensive content, as well as overly revealing clothing (shorts, shirts, or swimwear).

    Weapons: No weapons (including pocket knives) are permitted.

    Contact: No inappropriate displays of affection. This includes, but is not limited to, kissing or any sexual behavior.

    Behavior: Stealing, lying, fighting, and other disruptive behavior will not be tolerated.


    YOUTH: By attending VBS Shout 2026, you acknowledge that you understand and agree to follow this Code of Conduct and Rules. If you break any rules, a parent or guardian will be contacted, and you may be dismissed from the remainder of the event.

    PARENTS/GUARDIANS: By signing this form, you acknowledge that your child understands these expectations and that you are responsible for picking them up if they are dismissed due to rule violations.

  • Security Plan

    • We will have a team assigned to secure the premises during VBS Shout
    • There are live cameras around every area of our building besides restrooms.
    • Cameras will be in full effect during all hours of VBS.
  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

  • Date*
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  • How did you hear about VBS?
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    Children Ages 5-12 Registration Product Image
    Children Ages 5-12 Registration

    Covers food & activities 

    $40.00
      
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    Total
    $0.00

    Payment Methods

    creditcard
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    After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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