FALL FAMILY FEST
Registration Card
Parent/Guardian Name:
*
First Name
Last Name
Cell Phone #:
*
Format: (000) 000-0000.
Email Address:
*
example@example.com
Do you attend Warren?
*
Yes
No
Would you like more information about Warren?
*
Yes
No
How many are in your group this afternoon?
*
My Child(ren):
*
I/We, the parents/guardians of the above-named child/ren, hereby give approval for my/our child/ren to participate in Warren Belvedere & BVD Fire Department Fall Family Fest. I/We assume all risk and hazards incidental to such participation. I/We hereby grant permission for any church staff or adult volunteer present to obtain necessary medical, dental, or mental health treatment in case of sickness or injury to my child/ren when I/we are not available and agree I/we shall be financially liable for said treatment and agree to indemnify and hold harmless Warren Baptist Church/Warren Belvedere/BVD Fire Department, its staff, and adult volunteers for any such treatment. I/We do verify that the above information is correct and waive, release, absolve, indemnify, and agree to hold harmless Warren Baptist Church/Warren Belvedere/BVD Fire Department's staff, volunteers, and chaperones from any claims, demands, and actions arising out of damage or injury to my/our child/ren while participating.
Parent/Guardian Signature
Please be prepared to show the Final Submission Page at our Check-In tent. Thank you!
Submit
Should be Empty: