Journeying With Jesus Camp
Please complete this form to register your child for Fresh Oil Full Gospel Church’s Vacation Bible School on July 30-31 from 6-8 PM CST.
Participant Name
*
First Name
Last Name
Participant Age
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any allergies or medical conditions.
*
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 Vacation Bible School.
I authorize the VBS staff to seek emergency medical treatment for my child if necessary.
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 Fresh Oil Full Gospel Church, its volunteers, owners, shareholders, 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
*
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Month
-
Day
Year
Date
Submit
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