VBS Registration (Grades 4-8) July 18th

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Kids who have completed grades 4-8 are invited to join us for a day long VBS! July 18th from 9:00-3:00. Lunch will be provided. Please register below! Cost - free will donation! Suggestion- $10 per child. Please pay by using the link below.

First Child's Name *

1st Child's Grade (for the 2022-2023 year) *

Required

Second Child's Name

Second Child's Grade (for the 2022-2023 school year)

Parent(s) Names *

Parent(s) Address *

Parent(s) Cell Phone Number *

Parent(s) Email Address *

If there are any medical issues or allergies we should be aware of, please explain below

Disclaimer: I, the parent and/or guardian to the above children, give permission for my child to attend and participate in activities sponsored by Living Water. I, authorize an adult, in whose care the minor has been entrusted, to consent to any emergency medical care if I cannot be reached. The undersigned shall be liable and agree to pay all costs and expenses incurred in connection with such medical services. The undersigned does also give permission for my child to be a passenger in any vehicle that has adequate insurance. *

I agree to the above statement and give Living Water my permission

I do not agree to the above statement and do not give Living Water my permission

MEDIA RELEASE: By submitting this form, you give permission for the children listed below to be photographed and/or video/audio taped at Living Water Church or at events sponsored and/or approved by Living water. I understand that these photos or video/audio tapes may be used for instruction purposes, presentations, general uses for the children, and other things throughout the church. These photos may also be displayed on bulletin boards at Living water, the Living Water website, the Living Water Facebook pages, sent into the local media, or used in brochures promoting the church, youth and/or children programs, and/or mission projects. *

Yes, I give Living Water permission to photograph my child(ren)

No, I do not give Living Water permission to photograph my child(ren)

VBS Registration Fee - free will donation - suggestion 10$ per child-please click on the link before submitting the form. *

http://my.cheddarup.com/c/living-water-vbs-2023

Required

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