Real Life Church Summer Sports Camp
Event Timing: June 14-16, 6:00 - 8:30pm (Dinner will be served)
Event Address: 1848 S. Cochran Ave, Charlotte, MI  48813
Contact us at (517) 541-5433 or reallifechurch.me@gmail.com
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Child's Name (First & Last) *
Child's Date of Birth *
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Child's Grade *
Sport Selection (Please Select One) *
Parent/Guardian Full Name *
Phone Number *
Email *
Emergency Contact Person (If parent our guardian can not be reached) *
Emergency Contact Phone Number *
Dietary restrictions *
Photos of my child may be used on Real Life Church social media and future promotions *
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I hereby consent to participation by my child named above, in the event described above.  I understand that this event will take place at the Real life Church campus at 1848 S. Cochran Ave, Charlotte, Michigan and that my child will be under supervision of the designated church staff and volunteers on the stated date.  I further consent to the conditions stated above on participation in this event.  In consideration of my child being allowed to participate in Summer Sports Camp, I hereby agree on behalf of myself and my child, to release Real Life Church, their employees, agents, and representatives, including volunteers (collectively “Releasees''), from any and all claims, including negligence, which may be asserted by me or my child, or on behalf of my child, arising from or relating to my child’s participation in the Summer Sports Camp.  In the event this release on behalf of myself and/or my child is held to be invalid or unenforceable, I hereby agree to indemnify and hold harmless Releasees from any and all claims, including negligence, which may be asserted by me or my child, or behalf of my child, arising from or relating to my child’s participation in Summer Sports Camp.  This release or indemnification does not apply to claims for intentional misconduct or gross negligence; nor does this release or indemnification apply to extent of commercial insurance coverage for any claim, but this Release or Indemnification shall apply to the extent of any self-insurance or deductible applicable to any claim. *
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