Event Check-in & Bounce House Permission Slip
The Vine Church of Marysville Fall Family Fest
Event Check-in
*Please complete.
Family Contact
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
I want to learn more about The Vine Church of Marysville.
General church info
Youth Group
Vacation Bible School or Children's ministry
Future Events
Worship
Men's and Women's Groups
Wednesday Night Bible Studies
Will your child(ren) utilize the bounce house during this event?
*
No
Yes (complete the Bounce House Waiver to continue)
Bounce House Waiver
Please complete this section if your child(ren) will be utilizing the bounce house.
Child Name
*
Name
Age
Child Name
First and Last
Age
Child Name
First and Last
Age
Child Name
First and Last
Age
Child Name
First and Last
Age
I, undersigned, agree with the following statements:
*
I am the parent/guardian of the child stated above.
I voluntarily elect for my child to participate in playing in the bounce house.
I fully understand this involves jumping on an air filled entertainment toy, bounce house.
I fully understand the health and safety risks associated with these types of activities. I, therefore, assume all risk of injury associated with this event. I will not hold The Vine Church of Marysville, its volunteers, owners, employees, or anyone affiliated with its Management, liable for any circumstances of this event.
I hereby confirm that my child is in good physical condition and does not suffer from any disabilities or physical conditions that place him/her or others at risk or otherwise physically inhibit participation in this event.
By this waiver and release, I acknowledge that I have read, understand, and fully agree to the terms of this waiver and release and its contents. My signature is proof of my intent to execute a complete and unconditional waiver and release of all liabilities in force under the law.
Date
-
Month
-
Day
Year
Date
Signature
*
Print
Submit
Submit
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