VBS - Student Registration
FWC Vacation Bible School - MAKER FUN FACTORY
June 11-15 || 6:00 p.m. to 8:30 p.m.
VBS is designed for students who have completed grades Kindergarten through 5th.

Please complete the form below.

We look forward to a great week with your student!

Official form of Family Worship Center, Murfreesboro, Tennessee.

Student Info
Student's First Name *
Your answer
Student's Last Name *
Your answer
Grade Completed *
Required
Allergies, medical conditions, or special needs of which our team should be aware: (If none, enter N/A) *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Student's T-shirt Size *
Required
Parent/Guardian Info
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Emergency Contact Phone Number *
Your answer
Parent/Guardian Email
Your answer
FWC Liability Waiver
RELEASE OF LIABILITY and AGREEMENT
IN CONSIDERATION OF Family Worship Center allowing my child to participate in the Activities, I agree on behalf of myself and/or my child:
1. TO ASSUME and ACCEPT ALL RISKS arising out of, associated with or related to my or my child’s participation in the Activities.
2. TO WAIVE and RELEASE Family Worship Center from any and all liability for any loss, damage, injury or expense that I or my child may suffer, or that my next of kin may suffer as a result of my or my child’s participation in the activities due to any cause whatsoever.
3. TO INDEMNIFY and HOLD HARMLESS Family Worship Center from any and all liability for any damage to the personal property of, or personal injury to, any third party resulting from my or my child’s participation in the activities.
4. TO INDEMNIFY and HOLD HARMLESS Family Worship Center from any and all claims, demands, actions and costs for any loss, injury, damage or expense whatsoever that might arise out of my child’s participation in the Activities.

I UNDERSTAND THAT THIS IS A LEGAL AGREEMENT that is binding upon myself and my heirs, executors, administrators, successors and assigns. I HAVE READ AND UNDERSTAND THE TERMS OF THIS AGREEMENT and I ACKNOWLEDGE THAT by signing this agreement voluntarily, I am agreeing to abide by its terms and I am waiving certain legal rights that my child or I may have.

I have read the RELEASE OF LIABILTY statements above and agree to the terms by entering my initials below: *
Your answer
FWC Publicity Consent and Release
I give permission to Family Worship Center to use and publish likenesses of my child (including the child’s name as needed or appropriate), in whole or in part, in media of any form, including but not limited to photographs, video and audio. FWC may use such media electronically on its website, over the Internet, or in newsletters, promotional materials, press releases, and similar publications, without limitation or compensation to us or our child. We also release and discharge FWC from all claims that could arise from or in connection with the use of such media, including claims of libel and invasion of privacy.
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