• NEW APOSTOLIC CHURCH CANADA
    VACATION BIBLE SCHOOL
     Please complete one form for each child attending.
    Children 4 and under must be accompanied by an adult.
    Volunteers under the age of 19 yrs need to be registered by a parent.
     
  •  Thursday June 25th to Sunday June 28th

    New Apostolic Church, 813 Sharpe Street, Coquitlam BC

    includes: learning, games, crafts, music, science experiments, lunch and snacks.

    Co-ordinators:

    Christina Braun 604-992-1536  crbraun@telus.net

    Caren Eigenmann 604-761-7856  careneigenmann@gmail.com

     

     

  • Format: (000) 000-0000.
  • Please sign your child in and out each day. Which days will your child be attending?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • If your child has allergies, is an epi-pen required ?*
  • RELEASE, INDEMINITY, AUTHORIZATION AND PERMISSION

    RELEASE

    In permitting My Child (“My Child”) to attend the New Apostolic Church Canada Vacation Bible School (the “School”), I, the undersigned, permit my child to participate in the full range of School activities. I acknowledge that there are certain inherent risks involved in participating in the School activities. I release the New Apostolic Church Canada, its employees, volunteers and chaperones from liability for any loss, injury or damage to My Child, personal property of My Child, or death of My Child, resulting from participating in activities at the School.

    INDEMNITY

    In consideration of My Child being permitted by the School to participate in its activities and to use its equipment and facilities, I agree to indemnify and hold harmless the School from any and all claims, causes of action, actions or demands whatsoever which are in any way connected with such use or participation by My Child.

    AUTHORIZATION

    I authorize the School in the event of an accident or illness affecting My Child to authorize all procedures necessary, as the School may deem essential for the care and well being of My Child. If I cannot be reached, I authorize the physician or medical personnel selected by the School to arrange or provide necessary transportation, to secure and administer treatment, including hospitalization, order x-rays and other routine tests, order injections, anesthesia or surgery for My Child. I understand that I am responsible for any medical fees or prescriptions arising from injury or illness that may occur.

    PERMISSION

    Photographs or videos, in which My Child appears, may be used by the School for publicity purposes. With respect to the provisions of the Personal Information Protection and Electronic Documents Act, I give my permission for the School to collect, use and disclose the personal information contained in the Registration Form only, in order to better meet the service needs of myself and My Child, to ensure the safety of My Child, for statistical purposes, to inform you about School programs and fundraising, and to satisfy government regulatory obligations. Further I give my permission for the School to maintain personal information concerning me, or My Child already on file. I understand that I can (a) obtain information concerning the privacy policy of the School, (b) review and amend my or My Child’s personal information records maintained by the School, and (c) request that my and/or My Child’s personal information records be removed from the database of the School by writing the Privacy Officer at 319 Bridgeport Road, Waterloo, Ontario N2J 2K9. I acknowledge that: (a) the Church reserves the right to remove My Child from the School if, in the sole opinion of the Church, My Child’s behaviour is disruptive or poses a risk to My Child’s safety or the safety or property of others; (b) under these circumstances I, the parent, will be called by the Church to remove My Child from the School; and (c) if My Child is removed from the “School”, no fees shall be reimbursed. 

  • Should be Empty: