July 15th - 19th from 6:00 pm to 8:00 pm
Register by filling out the form below
Boy Girl
Using Carpool Walking Up to Pick Up Your Child None of the Above
PARTICIPATION CONSENT: I, the undersigned, being the parent or legal guardian of the above named child/children, do hereby consent to the participation of my child/children in all the regularly scheduled activities at Vacation Bible School at Calvary Chapel New Life.  Furthermore, I certify that my child/children is/are physically fit to participate in all activities (except as noted above). I agree to notify the Church in the event of any health changes that would restrict my child’s/children’s participation in any activity.  I also understand that the Church reserves the right to restrict my child/children from any activity that they do not feel is within the physical capabilities of my child/children.
 
LIABILITY RELEASE: I, the undersigned, do hereby release, forever discharge and agree to hold harmless Calvary Chapel New Life, its directors, employees, volunteers and agents (collectively herein the “Church”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the above child/children while involved in Vacation Bible School. Furthermore, I [and on behalf of my minor child/children] hereby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in activities involved therein.
 
MEDICAL TREATMENT CONSENT: I, the undersigned, in the case of a medical emergency, hereby authorize the Church to procure emergency medical services and authorize the providing of necessary medical services in the event of injury or illness.  Furthermore, I understand that the Church will not be responsible for medical expenses incurred, but I shall be liable and agree to pay all costs and expenses incurred in connection with such medical services rendered pursuant to this authorization. This authorization is to remain in effect from August 6 through August 10, 2018.
 
MEDIA RELEASE: I, the undersigned, do hereby grant permission for the Church to photograph, video and/or voice record my child/children during the Vacation Bible School program (or allow area news reporters to do the same) and to use such images and/or recordings for purposes of in-house Church use and/or for public promotion of the Church including but not limited to brochures, websites, digital media, and newspapers.
Yes, I grant permission I do not grant permission
Pastor Matt Klein Calvary Chapel New Life 435-315-3791 info@calvarychapelnewlife.com