2019-2020 Events
October 31st Trunk or Treat
November 2nd Flood Bonfire
November 13th OCC
November 23rd Turkey Bowl
December 20th Elf Movie Night
January 17th Flood Lock-In
February 12th Bowling Night
March 19th Paintball
April 29th Scavenger Hunt
June 6th Summer Kick-Off
June 29-July 3rd Generate Camp


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Student Name *
Grade *
Parent/Guardian Name *
Parent E-mail Address
Emergency Contact Number *
Enter today's date *
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I, the undersigned, certify that I am the parent or legal guardian of the student's name that's entered on this form.  I hereby give my consent to have my minor child participate in the following activity of <South Haven Baptist Church>:  August 24th Mud Volleyball, September 20th Belton/Ray-Pec Football, September 28th Love Loud, October 9th Scavenger Hunt, October 23rd Dodgeball Night, October 31st Trunk or Treat, November 2nd Flood Bonfire, November 13th OCC, November 23rd Turkey Bowl, December 20th Elf Movie Night, January 17th Flood Lock-In, February 12th Bowling Night, March 19th Paintball, April 29th Scavenger Hunt, June 6th Summer Kick-Off, June 29-July 3rd Generate Camp *
I recognize that there are risks involved in participating in this activity and hereby assume all risk of injury, harm, damage, or death to my minor child in connection with his/her participation in this activity.  To the fullest extent permitted by law, I release <South Haven Baptist Church>, its trustees, officers, directors, employees, agents and representatives from any injury, harm, damage or death which may occur to my minor child while participating in the activity and agree to save and hold harmless <South Haven Baptist Church>, its trustees, officers, directors, employees, agents and representatives from any claims arising out of my minor child’s participation in the activity. Further, being the parent or legal guardian of the minor child, I do consent to any medical, surgical, x-ray, anesthetic, or dental treatment that may be deemed necessary for my minor child.  I understand that efforts will be made to contact me prior to treatment but, in the event I cannot be reached in an emergency, I give permission to the activity leader to make the decisions necessary for treatment.  Should there be no activity leader available, I give permission to the attending physician to treat my minor child.  As parent or legal guardian, I understand that I am responsible for the health care decisions of my minor child and agree that my insurance plan is the primary plan to pay for the medical, dental, or hospital care or treatment that is given to my minor child.  Any insurance policy of the church or organization sponsoring this event will be used as the secondary coverage. *
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