Vacation Bible School
Cornerstone Church VBS 2019
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
School Grade Completed *
Are there any food allergies/special needs or medical concerns we should be aware of?
Your answer
Parent/Guardian Full Name *
Your answer
Emergency Contact Name & Phone Number *
Your answer
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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