Praise Baptist Kidz Fest Registration Form
This form must be completed by all adults 18 years of age or older for all persons in their party. The acting guardian must complete the Children’s Information section and sign the waiver at the bottom of the form.
Name (adult-Guardian) *
Your answer
Mailing Address: (Address, Street, City, Zip) *
Your answer
E-mail Address *
Your answer
How did you hear about the event? *
Emergency Phone Number *
Your answer
Children's Information (Name, Age and Gender for each child) *
Your answer
Please read the following statement and sign the waiver at the bottom of the page.
In consideration for being accepted by Praise Baptist Church for participation in the Kidz Fest & Praise Fest event, I do hereby release, forever discharge, and agree to hold harmless Praise Baptist Church, its members, associations, officers, staff, employees, and agents from any and all liability, claims, or demands for personal injury, sickness, death, or lost children. In addition, I agree to hold them harmless to any and all property damage and expenses, including accidents or theft, of any nature whatsoever which may be incurred by the undersigned and the participants, adults and minors, listed on the Kidz Fest & Praise Fest Registration Form. This includes minors not related to the responsible party, but which the responsible party has brought to the event, and also includes any events which may occur while said persons are participating in the above-described festival.

In the event of personal injury to any member of my party, I authorize the application of first-aid measures, or any other form of medical treatment of illness or injury as deemed necessary. I further hold harmless and indemnify all members, associations, officers, staff, employees and agents of Praise Baptist Church from any and all acts, or failure to act, related to illness or injury.

I am fully aware that Praise Baptist Church will be taking photographs during this event which may be used in public promotional activities. I consent to receiving information from Praise Baptist Church about upcoming events in the future.

WARNING
Under the Michigan equine activity liability act, an equine professional is not liable for an injury to or the death of a participant in an equine activity resulting from an inherent risk of the equine activity.

Signature
Praise Baptist Church requires that you certify your application by submitting an electronic signature. To certify your application, read the text below and provide an electronic signature (type your name) and click Submit. I certify that all the information in my application is accurate and true.
Electronic Signature
Your answer
Submit
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