2019 Peruvian Adventures VBS
Register for the July 8-12 Vacation Bible School Adventure held from 9 am to Noon. The SMART bus will provide transportation to and from daycares if you let us know your child is coming from there. If you have any questions or concerns, please contact Ryan Mandeville at 907-973-2042 or rmandevi@gmail.com
Email address *
Child's Name *
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Parent's Name
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Parent's Email *
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Parent's Phone number
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Child's Age/Grade *
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Allergies or Medical Concerns
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Days Attending
I understand that participation in youth activities involves a certain degree of risk. I have carefully considered the risk involved and have given consent for myself or my child to participate in this activity. I also understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. I release First Presbyterian Church of Skagway, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with the activity from any and all claims or liability arising out of this participation. In case of emergency involving my child, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the medical provider selected by the adult leader in charge to secure proper treatment, *
Column 1
I have read the above and agree to the terms
Please provide your signature using your initials to state that the information you provided is correct including your agreement to the release of liability.
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