Registration: 2018 Trunk or Treat
Event Date: Wednesday, October 31, 2018
Event Time: 6:00 PM
Event Address: One Church | 2361 Scenic Dr. Modesto, CA 95355
Contact us at (209) 521-5440 or randall.a@visitonechurch.com
Adult First Name *
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Adult Last Name *
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Email *
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Child #1: Name in attendance
Your answer
Child #2: Name in attendance
Your answer
Child #3: Name in attendance
Your answer
Child #4: Name in attendance
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Child #5: Name in attendance
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Choose One *
TRUNK OR TREAT LIABILITY RELEASE - 10/31/18 (PLEASE READ and CLICK CHECKBOX)
I understand that the church (One Church) will take reasonable steps to provide a safe environment for my child and to ensure that all equipment supplied by them for the activity is of a reasonable standard. I acknowledge that the church will not be liable for any injury that may be suffered by my child and/or any dependent in my care during the evening, which arises either directly or indirectly from, or in connection with, the activity described in the event schedule. I acknowledge that participation in the activity described above involves a risk to the participant (and to parents or guardians, if participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, bodily injury, death, emotional injury, personal injury, property damage and financial damage. In consideration for the opportunity to participate in the activity described above, I acknowledge and accept the risks of injury associated with participation in the activity. I hereby agree to indemnify the church against any and all claims arising from, or in connection with, any injury that may be suffered by my child and/or any dependent in my care during the evening, or that my child and/or any dependent in my care during the evening may cause to another person, as well as any loss or damage to property, equipment or personal effects belonging to my child, or any other person, arising either directly or indirectly out of or in connection with the activity described in the schedule incorporated in this form. In the event of an emergency, I agree that the church may authorize on my child’s behalf whatever medical treatment he/she may require. (This includes, but is not limited to, ambulance attendance and hospital treatment.) I agree to pay all medical expenses incurred. I release my child and/or any dependent in my care during the evening picture to be used in print, video, and web format for promoting the ministries of One Church. I hereby warrant that I am the legal parent or guardian of the child and that I have the legal authority to sign this agreement on behalf of my child. *
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