Soccer Bible Camp 2024 Registration
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Email *
Child's First Name *
Child's Last Name *
Gender of Child *
Date of Birth of Child - year/month/day (Example - 2018/05/28) *
Age *
Please include any relevant information about your child (diagnosis, triggers, behavioural concerns) *
List any allergies/medication/health concerns *
Parent/Guardian Full Name(s) *
Full Home Address *
Phone Number *
Please list out the names of individuals that are permitted to pick up your child *
Emergency Contact Name *
Emergency Contact Phone Number *
Permission to take Photos that might include your child to be used ONLY during the camp week.
FUNCTIONS AND ACTIVITIES
It is my understanding that participating in the programs and recreational and other activities of BETHEL BAPTIST CHURCH SOCCER BIBLE CAMP is a privilege.  Prior to my child's participation in such activities, I acknowledge that there are certain risks associated with the activities, including, by way of example, but not limited to, physical injury due to activity related accidents, illness, or even more serious consequences.  In addition, I acknowledge that there may be other risks inherent in these activities of which I may not be presently aware.
RELEASE OF LIABILITY
By digitally signing this permission/waiver form, I expressly warrant my child capable of withstanding both physical and mental demands of the activities discussed above. I also expressly assume all risks of the child or me participating in the activities, whether such risks are known or unknown to me at this time.  I further release BETHEL BAPTIST CHURCH and its ministers, leaders, employees, volunteers, and agents from any claim that my child may have or that I may have against them as a result of injury or illness incurred during the course of participation in the activities.  This release of liability shall include (without limitation) any claims of negligence or breach of warranty.  This release of liability is also intended to cover all claims that members of the child's or my family or estate, heirs, representatives, or assigns may have against BETHEL BAPTIST CHURCH or its ministers, leaders, employees, volunteers, or agents.  I further agree to indemnify and hold harmless BETHEL BAPTIST CHURCH and its ministers, leaders, employees, volunteers, or agents from any and all claims arising from my child's/children's participation in its activities and programs, or as a result of injury or illness of my child during such activities.
I agree to the release of liability *
Today's date: *
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A copy of your responses will be emailed to the address you provided.
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