MTCFB VBS 2018 Student Registration
"And how from childhood you have been acquainted with the sacred writings, which are able to make you wise for salvation through faith in Christ Jesus."
- 2 Timothy 3:15

Welcome to Polar Blast: When Jesus' Love is Cool!

Mar Thoma Church of Dallas Farmers Branch: 11550 Luna Road, Farmers Branch TX, 75234

Thursday July 12: 8:30 a.m. - 4:00 p.m.
Friday July 13: 9:00 a.m. - 6:00 p.m.
Saturday July 14: 2:00 p.m. - 9:00 p.m.

Student Name (First and Last) *
Your answer
Grade Completed *
T-Shirt Size *
Parent Name (First and Last) *
Your answer
Parent Phone Number *
Your answer
Parent Email Address: *
Your answer
Emergency Contact Name (First and Last) *
Emergency Contact Number *
Dietary Restrictions *
Allergies *
Your answer
Form of $20 Payment *
Liability Agreement: This agreement releases MTC Dallas FB and all persons acting on behalf of MTC Dallas FB from all liability relating to injuries that may occur during all VBS activities to include outside and off site programs. By signing this agreement, I agree to hold MTC Dallas FB and all persons acting on behalf of MTC Dallas FB and entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence.I also acknowledge the risks involved in VBS activities. I swear that I am participating voluntarily, and that all risks have been made clear to me. Additionally, I do not have any conditions that will increase my likelihood of experiencing injuries while engaging in this activity.By signing below I forfeit all right to bring a suit against MTC Dallas FB and all persons acting on behalf of MTC Dallas FB for any reason. I will also make every effort to obey safety precautions as explained to me verbally. I will ask for clarification when needed. I, _____________, fully understand and agree to the above terms. Parent Signature for all persons 18 and below. *
Your answer
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