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Second Baptist Church Arkadelphia, AR
Preteen Retreat for completed 4th-6th Grade
August 10th 9AM-3PM (Afternoon Laser Tag)
Location: Children's Building
Last day to sign up is August 2
Cost is $25/person
Child's Name
Your answer
Grade (Grade They Completed):
Parent's Name
Your answer
Parent's Phone Number
Your answer
Child's T-Shirt Size
Cost is $25/person: Cash or Check
I agree to grant Second Baptist Church (SBC) the right to use and display any photographs or video taken of the minor under my supervision, regardless of when taken, for the purpose of promoting, advertising, describing, or offering information on the activities and ministries of SBC in all forms of media, including any publication, newsletter, newspapers, letter, other print, Internet, video, and SBC’s website.I release any personal or proprietary right that I may have to any such photographs and video, and I release and waive any claim that I or my minor child may have, now or in the future, to any compensation or damages as a result of SBC’s use of any such photographs or video.
I (We), as the parent(s) or legal guardian(s) of this participant, hereby grant my (our) permission for him/her to participate fully in activities with Second Baptist Church and hereby give my (our) permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including, but not limited to emergency surgery or medical treatment. I (we) also assume all responsibility for medical bills that may result, if any. Furthermore, should it be necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, I (we) hereby assume all transportation costs.
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