CHILDREN TO BE ENROLLED AND ART STATION SELECTIONS FOR EACH NIGHT (choose one):
EMERGENCY CONTACTS (AFTER parents have been tried)
HEALTH CONCERNS/FOOD ALLERGIES
RELEASES
I, as undersigned, as the parent or legal guardian of the named child or children, do hereby give permission for him/her/them to participate in any of the activities conducted by the leaders for Crescent Springs Presbyterian Church 2016 Summer VBS program.
LIABILITY RELEASE: I also hereby release, forever discharge and agree to hold harmless Crescent Springs Presbyterian Church and the directors thereof from any and all liability, claims, or demands for personal injury, sickness, or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the above named child/children that occur during all church activities. Furthermore, I hereby assume all risk and personal injury, sickness, death, damage, and expense as a result of participation in these activities. Further, authorization and permission is granted to furnish any necessary transportation, food, lodging, required for all activities. The undersigned further hereby agrees to hold harmless and indemnify Crescent Springs Presbyterian Church, its directors, employees or agents, for any liability sustained by said church as the result of negligence, willful or intentional acts of the above named child/children, including expenses incurred attendant thereto.
MEDICAL RELEASE: I attest that the above named child/children is/are in good physical condition. Should any accident or illness occur during any VBS activity, I will not hold Crescent Springs Presbyterian Church or its directors responsible for medical aid rendered and will reimburse them for the medical and or other expenses incurred. The above named child/children may receive necessary first aid. He/She/They may receive medical attention by any duly licensed physician, and may be admitted into the hospital in case of an emergency.
DISASTER PREPAREDNESS: In case of a disaster, my child/children may be released into the care of a parent, legal guardian, or the above listed emergency contact persons.
CONSENT FOR PHOTOGRAPHS AND VIDEOS: I hereby authorize and give full consent, without limitations or reservations, to Crescent Springs Presbyterian Church to publish any photographs or videos in which the above named child/children appear while participating in the VBS program. There will be no compensation for use of any photographs or videos at the time of publication or in the future.