• VBS Campfire Adventures Registration Form

  • Camper's Information

    Personal & Health & Contact
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  • Parent / Guardian Information

    (All correspondence and and invoices will be sent to this person)
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  • Consents

    Media, Loss and Medical Permissions.
  • As the parent/guardian of above child, grant The ARC Foursquare Church my permission to use the photographs for any legal use, including to but not limited to: publicity, copyright purposes, illustration, advertising and web content.  Furthermore, I understand that no royalty fee or other compensation shall become payable to me by reason of such use.

  • As the parent/guardian of above child, undertake and agree to indemnify and hold blameless the Ministry Personnel of The ARC Foursquare Lloydminster Church, its pastors and board from and against any loss, damage or injury suffered by child from above, as a result of being apart of activities at The ARC Foursquare Lloydminster Church.

  • As the parent/guardian of above child, in the case of an emergency and The ARC Foursquare Lloydminster Church staff being unable to get ahold/contact parent or guardian, authorize the Ministry of The ARC Foursquare Lloydminster Church to get immediate help froma physician or hospital to provide medical assessment, treatment or procedures for the child named above.  Until parent/guardian is reached I authorize The ARC Foursquare Lloydminster Church to give permission to physicians or hospital based on their recommendations.

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