CEC in Livingston VBS 2024 Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Christian Evangelical Church in Livingston - 71 Old Road Livingston NJ 07039
2024 Vacation Bible School Registration
August 5, 2024 (Mon) to August 9, 2024 (Fri) from 8:45 am to 12 noon
Age Group (Kindergarten to Grade 6 - for Fall Attendance)

Email *

Last Name *

First Name *

Address *

City *

State *

Zip *

Age *

Birthday *

YYYY

School grade child will attend in the Fall *

Home Phone *

Parent Cell Phone(s) *

Parent Email *

Parent(s) name(s) *

Parent(s) work phone(s) *

In case of emergency, contact NAME and PHONE *

Allergies or other medical conditions

Name of home church, if any

Special Notes

Any other information you would like us to know

Name of Parent/Legal Guardian filling out this registration *

I hereby grant permission for video recording and digital photographs to be taken of my child or my child’s work as part of his/her participation in the Christian Evangelical Church in Livingston Vacation Bible School. I understand that the recordings and images collected maybe used in publications, including electronic publications, audio visual presentations, promotional literatures, church websites,social medias and other similar ways. We will keep it anonymous and not identify any child by name. *

I agree

I acknowledge that participation in the activities described above involve risks to the Participant (and to Participant’s parents or guardians, if Participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, bodily injury, emotional injury, personal injury, property damage, financial damage and others. In consideration for the opportunity to participate in the activities described above (the "Activities"), the Participant (or parents/guardian of Participant is a minor) acknowledges and accepts all the risks of injury associated with participation in and transportation to and from the Activities. The participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the Activity or during transportation to and from the activities, as well as for any medical treatment rendered to the Participant that is authorized by the Sponsor or its agents, employees, volunteers, or any representatives (collectively referred to hereinafter as the "Activity Sponsor"). Further, the Participant (or parents/guardians) releases or promises to indemnify, defend, and hold harmless from Any and all claims, demands, losses, and liability arising out of or related to any injury(ies) the participant may suffer, or loss, or damage to person or property, the Activity Sponsor, its officers, officials, agents and/or employees, other participants, and volunteers. In emergency medical situation, I give the participant permission to participate in all activities except as I may have excluded in writing. In case of emergency, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my full permission to the teachers or staff in charge to secure medical treatment for my son/daughter should the need arise. I have read this Activities Participation Agreement that includes this release of liability/risk agreement, fully understand its terms, understanding that I have given up substantial rights by signing it, and sign it freely and voluntarily. *

I agree

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms