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VBS 2019 REGISTRATION

CHILD INFORMATION

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EMERGENCY INFORMATION

The above-named child has permission to participate IN THE WILD! VBS Program. If we cannot be reached in the event of an emergency, the following person is authorized to act on our child's behalf.

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In the case of medical emergency, I understand every effort will be made to contact a parent/guardian or the above-named authorized person. In the event we cannot be reached, permission is given for emergency treatment for my child.

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PICKUP INFORMATION

If someone other than a parent/guardian will be picking up your child, please provide us with the below information. Note: This person will need to show photo ID in order for your child to be released to him/her.

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PHOTOGRAPHIC RELEASE FORM

Please read before signing. During VBS activities at FBCWS, pictures and video are taken of the participants. These pictures and video are sometimes used to promote and/or inform others about the activities that have taken place during VBS. We use our website, brochures and other media in doing so. Care is always given to show appropriate material, but we cannot control how others will use this material. This is especially true with web-related content. By signing below, you are acknowledging that pictures and/or video may be taken of you and your child and you are giving FBCWS permission to use them in various media presentations. You also understand the risks involved and, except for gross negligence on the part of the church, you (the participant or parent/guardian) agree to hold harmless FBCWS for any outcome that results from the material being used. If a dispute over this agreement or any other claim for damage arises, you (the participant or parent/guardian) agree to resolve the matter through a mutually-acceptable arbitration process. If you do not sign below, you understand that pictures and/or video will still be taken, but we will not use the pictures and/or video in brochures, on our website, or in any future mailings. I understand that by having my child participate in the IN THE WILD! Vacation Bible School Program, pictures and/or video may be taken of my child and me. I give my permission for FBCWS to use these pictures and/or video in their publications and on their website

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