RSVP (Event Name)
This RSVP includes registration, photo liability as well as event liability consent form.
Please take your time and fill out the form completely.
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Child's Full Legal Name / 자녀 이름 *
Child's Preferred Name (if applicable)
Child's Date of Birth / 생년월일 *
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Guardian's Full Legal Name / 보호자 성함 *
Relationship to Child / 아이와의 관계 *
Contact # / 연락처 *
Email Address / 이메일 주소 *
Home Address / 집주소 *
Age Department / 부서 *
Does your child have any allergies or medical conditions? (자녀가 질병이나 알러지가 있나요?) *
If yes, please specify (있다면 구체적으로 알려주세요)
Is your child potty-trained? (자녀가 배변훈련이 되었나요?) *
If no, do you give us consent to take your child to the restroom / change dirty diapers? (배변훈련이 안 되었다면 자녀의 화장실 이용과 기저귀 교체를 허락하시나요?)
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<PHOTO LIABILITY>   I, the parent or legal guardian of this child, grant New Life Vision Church my permission to use the photographs for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use. *
<EVENT LIABILITY>   Should it be necessary for my child to have medical care while participating in this activity, I hereby give the New Life Vision Church personal permission to use their judgment in obtaining medical care for the child, and I give permission to the hospital staff selected by New Life Vision Church personnel to render medical care deemed necessary and appropriate.  I understand that the New Life Vision Church has no insurance covering such medical or hospital costs incurred by my child and, therefore, any cost incurred for such treatment shall be my sole responsibility. We (I) authorize an adult, to whom the above-named minor has been entrusted for this activity, to consent to any x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment, and hospital care, to be rendered to the minor on the advice of any licensed medical provider or dentist. The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and/or dental services rendered to the aforementioned child pursuant to this authorization. The undersigned shall be liable for and agree(s) to pay all costs and expenses incurred with any transportation costs should it be necessary for the minor child to return home due to medical reasons or otherwise. The undersigned does also hereby give permission for our (my) child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participating in activities sponsored by New Life Vision Church.  In consideration for allowing my (our) child to participate in activities sponsored by New Life Vision Church, we (I) do hereby release, forever discharge and agree to hold harmless New Life Vision Church, any adults volunteering with the Church and the pastors and leaders of the Church from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses.   *
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Is there anything else you would like us to know? (저희에게 알려주실 추가 사항이 있나요?)
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature. *
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