Flipside VBS 2023
Deadline for pre-registration t-shirt order is May 21st 2023. Registering after this date may not ensure a t-shirt for participation.

June 12-16 // 5:30 PM - 8:00 PM  // FREE EVENT

Flipside Christian Church
37193 Ave 12 #3h, Madera, CA 93636

Please sign up one child per form.

Questions? Please contact Kaylli DeBey: kaylli@acts176.com

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Child's Name (First & Last) *
School *
Grade Going Into (Fall 2023): *
T-Shirt Size (Please select one): *
Parent/Guardian Name (First & Last): *
Relationship to Student: *
Home Address: *
Contact Phone Number: *
Parent/Guardian E-mail: *
Secondary Emergency Contact Name (First & Last): *
Relationship to Student: *
Secondary Contact Phone Number: *
Photo Release Agreement
I hereby acknowledge and grant Flipside Christian Church permission to use my or my child's likeness in a photograph, video, or other digital media ("photo") in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of Flipside Church and will not be returned. Hereby irrevocably authorize Flipside Church to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo(s). I hereby hold harmless, release, and forever discharge Flipside Church from all claims, demands, and causes if action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
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