2020 Fall Harvest Fest Registration Form
Activity Event:  FALL HARVEST FESTIVAL                 Date:  OCTOBER 31, 2020
Coordinator:       Rock City Church        Time:  1:00 p.m. – 4:00 pm
Telephone:          (410) 882-2217         Location:  1607 Cromwell Bridge Rd. (21234)
Description of Activity: Games, hayride, horses, inflatables, food, contests, and activities.

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Participant(s) Full Name(s) *
Participant(s) Ages(s) *
Parent/Guardian(s) Last Name *
Parent/Guardian(s) First Name *
Parent/Guardian(s) Email Address *
Parent/Guardian(s) Phone Number *
Parent/Guardian(s) Mailing Address *
Emergency Contact's Name (Other than Parent/Guardian) *
Emergency Contact's Phone Number *
Liability Statement: As the parent/legal guardian of the above-named minor(s), I give my permission for the above-named participants to participate in any and all activities, events, and programs at the Fall Harvest Fest on the grounds of Rock City Church. In the event of a medical emergency, I authorize a representative of Rock City Church to transport me or my child to the nearest medical facility for treatment or call 911. By signing below, the participant (or parent/guardian, if the participant is a minor) acknowledges and accepts the risk of physical injury or illness associated with participation in the activities described above. I accept personal financial responsibility for any bodily or personal injury or illness sustained during this event. Further, the participant (or parent/ guardian) promises to hold harmless event vendors, Camp Rock, Rock City Church, and its representatives for any injuries or accidents. I understand that I am responsible for all legal fees should I take legal action against any event vendor, Rock City Church, Camp Rock, or any event volunteers or representatives. I understand that event tickets purchased are not refundable for any reason. I also understand that my families’ photographs may appear in print, digital, video, or online event promotional materials. By typing my name below, I understand and agree to the statements listed above. *
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