SUMMER ON THE SUMMIT Registration

Parental Consent

I hereby consent to let my child participate in the event SUMMER ON THE SUMMIT!! It is understood that every precaution will be taken for the safety and well-being of my child, but in the event of accident or sickness, Summit Kids and First Baptist Church Dunnellon, its staff and its volunteers are hereby released from any liability.
Child's Name of Consent: *

First Name Last Name
Parent's Name: *

First Name Last Name
Date:

Month Day Year Hour Minutes AM/PM Option
By submitting this form, I give consent to First Baptist Church of Dunnellon of the child above
Should be Empty:

Registration Form