Event Title: VACATION BIBLE SCHOOL (SonWest Round-Up)
  Event Date: 7/9/2018  to  7/13/2018
  Event Time: 9 AM - 12 PM
  Event Location Living Hope Baptist Church
  Event Fee: $0.00

 
  * Required Information
  Parent/Guardian Information
  * First Name:
  * Last Name:
  *Address:
  * City:
  * State:    * Zip:
  * Phone:     Secondary Phone:
* E-Mail:
  Church Affiliation:
  How did you hear about this event/activity?

  Emergency Contact Information (This information is only needed if you will not be staying on the premises during the event)
  Contact Name:
  Relationship to Child:     Contact Phone:

  * Child 1 Information
  Name
Gender:       Age:       Grade Entering:
  Food Allergies
Medical Needs:
 
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  Child 2 Information
  Name
  Gender:       Age:       Grade Entering:
  Food Allergies
Medical Needs:
 
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  Child 3 Information
  Name
  Gender:       Age:       Grade Entering:
  Food Allergies
Medical Needs:
 
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  Child 4 Information
  Name
  Gender:       Age:       Grade Entering:
  Food Allergies
Medical Needs:
 
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  Child 5 Information
  Name
Gender:       Age:       Grade Entering:
  Food Allergies
Medical Needs:
 
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* CHILDREN'S EVENT/ACTIVITY MEDICAL RELEASE FORM
  I (We), the parent(s) or guardian(s) of the above listed child grant permission for our child to participate in the above listed activity / event to be held at Living Hope Baptist Church and to receive medical treatment if necessary. If I (we) or the listed emergency contact(s) cannot be reached, I (we) give our permission to the staff of Living Hope Baptist Church to secure the services of a licensed physician to provide the necessary care for my child's well-being. I (we) also agree to release and agree to hold harmless Living Hope Baptist Church and all its participants from any liability and assume all risk of injury, damage or expenses as the result of participation in the activities of this event / activity.
     
  NOTE: Parent/Guardian signature will be required upon bringing your child to this activity / event.
  Parent/Guardian Signature: _____________________________     Date: ________________________

* CHILDREN'S EVENT/ACTIVITY PHOTOGRAPHIC RELEASE FORM
  I (We) understand that as an attendee of this children's event / activity my child(ren) may be photographed during their participation. I also understand that these photographs may be used in presentation and promotional materials (of this event), and may be posted on Living Hope Baptist Church's website.
  - I give Living Hope Baptist Church permission to use my child's photos of participation in this activity/event. I release Living Hope Baptist Church of any and all liability
  NOTE: Parent/Guardian signature will be required upon bringing your child to this activity / event.
  Parent/Guardian Signature: _____________________________     Date: ________________________



 *  Verification Check:






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