Lake Day
August 3rd, 9AM to 9PM
Lake Blackshear, Cordele GA
Bus will leave from the church at 9AM and return at 9PM. Students should bring $10 to cover food, as well as a towel, swim suit and change of clothes.
Student Name(s) *
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Parent Name *
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Parent Phone Number *
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Parent Email *
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Any concerns we need to know? (Food allergies, swimming weaknesses, medications...) *
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Medical Release
I/We the undersigned have legal custody of the student named above, a minor, and have given our consent for him/her to attend events being organized by the Church. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the Church, its pastors, employees, agents, activity providers and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by the Church, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the student named above. I/we also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by the student ministries staff member.
Please type your full name if you agree to the Medical and Liability Release *
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Media Release
Media Consent
I hereby grant permission to the student ministries departments and Calvary Baptist Church the right to take, use, reproduce, and/or distribute photographs, films, video, and sound recordings of my student, without compensation or approval rights, for use in materials created for purposes of promoting the activities of the family ministries department.
Please type your full name if you agree to the Media Release.
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