VBS 2019 - GiddyUp Junction
Carolina Baptist Church
256 Floyd Rd.
Spartanburg, SC 29303

Contact us at 864-582-3812 or info@carolinabaptist.org
Date: June 10-14, 2019
Time: Monday-Friday 6:15 PM - 8:45 PM
Parent Information
Parent's First Name *
Parent's Last Name *
Address *
City *
State *
Zip *
Telephone *
Emergency Contact Name *
Emergency Contact Telephone # *
Child Registration
You may register up to 4 children on this form. If you are only registering fewer than 4 children, then please click the "Next" buttons at the bottom of each page to get to the "Submit" button at the end of the Form on page 5.
Thank you.
Total Number of Children you are Registering today. *
Photo Permission & Release Waiver
I hereby grant the Carolina Baptist Church permission to use my child(ren)’s likeness in a photograph in any and all of its publications, including website entries, without payment or any other consideration. I hereby authorize the Carolina Baptist Church to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing the Carolina Baptist Church programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein the likeness appears. I waive any right to royalties or other compensation arising or related to the use of the photograph. I hereby hold harmless and release and forever discharge the Carolina Baptist Church from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I have read and agree to the Photo Permission & Release Waiver. *
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