SLC Student Registration
* Please submit one form for each child.

Spirit of Life Church - Superhero VBS: June 3-5
189 W. Indiana Street, Martinsville, Indiana
(765) 342-8123
www.slcmartinsville.org

VBS is 5 pm to 8 pm daily and includes dinner.
For ages 4 through (going in) 6th grade

Parent Name(s): *
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Email Address: *
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Email Address (2):
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Father's Cell Phone Number:
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Mother's Cell Phone Number:
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Child's First Name: *
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Child's Last Name: *
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Child's Age: *
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Birthday: *
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Grade in school: *if applicable/grade going into
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School they attend: *if applicable
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Allergies or other Medical Considerations: *if applicable
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I give SLC permission to use my child's picture for classroom projects, on the SLC website, in social media posts, and other marketing materials: *
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If I am not available and a medical emergency arises, I give permission for SLC staff and teachers to seek medical help: *
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I would like to receive monthly emails and/or texts about SLC children's ministry events: *
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As a parent or guardian, I recognize and affirm that my youth is participating in church activities at their own risk, and that they voluntarily assume those risks. This release applies for any and all loss or damage, and any claim or damage resulting from any church sponsored activity in which my child is involved. By signing this form, either as a parent and/or legal guardian, I also release all youth leaders, pastors, and any members of Spirit of Life church from any liability whatsoever, including but not limited to, on account of first aid treatment or service rendered to my child during participation of church activity. In case of emergency, every effort will be made to contact parents or legal guardians. Signature on this release form hereby grants permission for any child to receive all necessary medical treatment. I as a parent and or legal guardian further state that I have carefully read this release and know the content there of, and sign this release of my own free act. *
Parent and/or Guardian Signature *
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