Vacation Bible School
Cornerstone Church VBS 2019
Child's First Name
Child's Last Name
School Grade Completed
Preschool age 3
Preschool age 4
Are there any food allergies/special needs or medical concerns we should be aware of?
Parent/Guardian Full Name
Emergency Contact Name & Phone Number
Photo Release Form for Minors (if under 18): Cornerstone Evangelical Free Church has my permission to use my or my child’s photograph publicly to promote the church. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
Liability waver: I agree to indemnify and hold Cornerstone Church harmless and release Cornerstone from any and all liability for any injury which may be suffered by the named individual registered in the VBS, arising out of or in any way connected with participation in this program. I have read the above registration, and fully understand that I assume all risks for injuries received.
A copy of your responses will be emailed to the address you provided.
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