Please fill out this form for the Summer Ministries at Living Hope Bible Church this summer. You only need to fill out this form one time for the summer and only one form needed per family.
Vacation Bible School - June 23rd - 27th
(6:00 - 8:00 PM)
Victory Sports Camps July 8th - 12th and July 15th - 19th
(10 AM - 12 PM)
Bible Camp @ Forest Lake August 7th - 9th
VACATION BIBLE SCHOOL AND ALL CAMPS ARE FREE!!
In the event that my child(ren) (listed above) may require medical and/or surgical care while I am out of the city or unable to be reached, I hereby give my consent to medical and/or surgical treatment to any hospital and doctor to provide this care. In the event that my child(ren) listed above may require dental surgical care while I am out of the city or unable to be reached, I hereby give my consent for dental and/or dental surgical care to any hospital and doctor to provide this care. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be present upon admission for treatment.
Hold Harmless Agreement
Living Hope Bible Church
I/We agree to hold harmless, Living Hope Bible Church of Eldon, Iowa, and its members, officers, leaders and/or Pastors and teachers for any injury or death which may for whatever reason, occur during church related activities, including but not limited to: youth meetings, church outings, youth trips, picnics, recreation, fund raising activities, or any other function for which the Living Hope Bible Church has obtained parental consent, or any activity which a parent or guardian would normally allow their child to participate in, and which would not normally require a specific parental/guardian release.
I/We as the parent or legal guardian of the above named minor child(ren), do hereby give our permission for he/she to participate in the described activity associated with this specific release form. In granting this permission, I/we release the Living Hope Bible Church from liability. We also grant permission to the person in charge of this activity on behalf of the Living Hope Bible Church to take whatever reasonable course of action may be deemed necessary to insure the safety and disciplinary orderliness of this activity. I/We further authorize the Living Hope Bible Church to seek whatever medical or other treatment which may be deemed necessary during the time the below named minor child is involved in this activity.
This release is for:
2019 Vacation Bible School - June 23rd - 27th (6:00 PM - 8:00 PM)
2019 Victory Sports Camps - July 8th - 12th and July 15th - 19th (10:00 AM - 12:00 PM)
2019 Bible Camp at Forest Lake Campgrounds (August 7th - 9th)
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE