Wacky Wednesdays - 11 AM - 1 PM
Lunch, Games, and Bible Study by last grade completed.
Email address *
Parent/Guardian Cell Number *
Child 1: First & Last Name *
Child 1: Last Grade Completed *
Child 2: First & Last Name
Child 2: Last Grade Completed
Child 3: First & Last Name
Child 3: Last Grade Completed
Child 4: First & Last Name
Child 4: Last Grade Completed
Allergies or Needs: (Please list child's name and specific details)
MEDIA RELEASE: I authorize and release the use of any photographic or video image of my child(ren) or family for any use by Grand Avenue Baptist Church or any of it’s ministries with no recourse or compensation to me or my family. I also agree that any positive written or verbal statement I might make may be used for publicity purposes. *
RELEASE OF LIABILITY (PLEASE READ CAREFULLY) I, the parent or guardian of the above named individual (or “my child”), acknowledge that attendance and participation in all activities at GABC may involve the risk of physical injury. I knowingly and freely assume all such risks on behalf of my child and I willingly agree to comply with terms and conditions for my child’s attendance and participation. I consent and agree that I will not make a claim against, sue, or prosecute GABC staff, directors, agents, sponsors and employees for damages for death, personal injury, which my child may sustain as a result of his/her attendance and participation at Wacky Wednesdays. Knowing that there are inherent risks or dangers, I certify that my child is fully capable of attending and participating in the activities at GABC has to offer. I, as a parent/guardian with legal responsibility for my child, do consent and agree to his/her release as provided above and for myself, my heirs, assigns, and next of kin. I release and agree to indemnify and hold harmless Grand Avenue Baptist Church from any and all liability incidents to my child’s involvement or participation at Wacky Wednesdays as provided above, to the fullest extent permitted by law. I have carefully read this consent and release of liability and fully understand and agreed to its contents. *
We will be practicing and enforcing safe social distancing and CDC guidelines during this event. Please check that you agree to adhere to them. *
A copy of your responses will be emailed to the address you provided.
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