Please check the grade your child has just completed.
Time Lab music CDs (music used during VBS program) will be available for $3 each.
Does your child have any medical or allergy concerns?
Please list all individuals by first and last name who are NOT AUTHORIZED to pick up your child separating names of multiple individuals with a comma.
I do hereby agree that I have legal custody of the minor child being registered, and give consent for him/her to attend Vacation Bible School at First Baptist Church of Hazel Park. I understand that there are inherent risks involved in any ministry or athletic event, and I hereby release First Baptist Church of Hazel Park, its pastor, teachers, volunteers and employees from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my child's involvement.
I do hereby agree to hold First Baptist Church of Hazel Park, its pastor, teachers, volunteers and employees harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to my child or property which I now have or which may arise in the future in connection with the activity or participation in any other associated activities. This consent gives permission to First Baptist Church of Hazel Park, its pastor, teachers, volunteers or employees to seek whatever medical attention may be deemed necessary if an emergency, injury or medical condition should arise during the course of the event. In the case that medical attention is deemed necessary for their minor child, where possible every effort will be made by First Baptist Church of Hazel Park, its pastor, teachers, volunteers or employees to contact the listed legal guardian(s) using the contact information provided in this registration.
I do hereby agree to release First Baptist Church of Hazel Park, its pastor, teachers and volunteers and employees from any liability against personal losses of minor children registered for VBS and/or their parents and legal guardian(s).
I do hereby expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Michigan and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.
I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement that I have read and understand.
By checking “Yes” or “No” below I am acknowledging my consent or declining my consent regarding the release of liability. I understand that if I check “No” my child will not be allowed to participate in any activities.
I grant to First Baptist Church of Hazel Park the right to take photographs of me and my family in connection with VBS, June 24-28, 2018. I authorize First Baptist Church of Hazel Park to copyright, use and publish the same in print and or/electronically in media or promotional videos.
By checking “Yes” or “No” below I am acknowledging my consent or declining my consent regarding the media release. I understand that if I check “No” my child may not be allowed to participate in activities when a church sanctioned photographer is present. In addition my child may be pulled out of activities in which they are currently participating if a church sanctioned photographer arrives.