Boatswain Bay Presbyterian Church - VBS 2021
Registration Form
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Name of Child
Date of Birth
MM
/
DD
/
YYYY
Ages
Mother's Name
Mother's Phone Number
Father's Name
Father's Phone Number
Physical Address
Guardian/Emergency Name and Phone No.
Allergies or Medical Conditions
Home Church
VBS Release Form: Liability, Medical Emergency and Photo Release
By signing this form you are consenting to put your greatest treasure into our care, which is our honour and pleasure. We will do everything we can to keep your child safe and sound as we participate in Vacation Bible School (VBS). Each activity we keep in mind safety considerations and emergency procedures so that if anything unfortunate happens we will be ready. However, there are times when unforeseen circumstances beyond our control do occur, and the statements below are intended to protect the congregation and staff of Boatswain Bay Presbyterian Church (PCA) in those situations.

"In consideration of you accepting my child for participation in VBS, I hereby, for my heirs, executors, administrators and myself waive and release any and all rights and claims for damages that I may have against Boatswain Bay Presbyterian Church (PCA) and its agents, employees, representatives, successors and assigns for any and all injuries suffered by myself or my child that arise out of VBS sponsored by the above named organization. I warrant that I have the right to authorize the foregoing and do hereby agree to hold the above named organization harmless of and from any and all liability of whatever nature, which may arise out of or result from such participation. For the consideration stated above, I further agree that in the event that my child or I should make any claim against the above named organization for damages arising out of the above named programme, activity or sport, I will personally indemnify, defend, and hold harmless the organization and its agents employees, representatives, successors, and assign against any and all loss and damage, occasioned thereby, including attorney's fees. By signing below I give permission to treat my child in case of medical emergency. By signing below, I also give permission to Boatswain Bay Presbyterian Church (PCA) to use photographs, videos, and other recording, likenesses and images in promoting other activities sponsored by the Church. I have read and understand this Agreement and have willingly placed my signature below as evidence of my acceptance of all the conditions contained herein."
I promise, by typing  my name, that I 1) am the Parent/Guardian of this registered child and 2) have agreed to this release form: *
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