VBS Registration form

True Life Center On-line VBS Registration Form

Child Name (First and Last):	Birthdate:
Child Name (First and Last):	Birthdate:
Child Name (First and Last):	Birthdate:
Child Name (First and Last):	Birthdate:
Child Name (First and Last):	Birthdate:
Child Name (First and Last):	Birthdate:

Parent Name (First and Last):	Address:
City:	State:
Zip:	Phone: Email:
Parent's work or Cell#:	Current church - if any:
Emergency Contact:	Phone:

Known Allergies/Special Needs/Medications:
(Please include child name, if registering more than one child on this form)

By submitting this form, I give permission for my child to participate in all Vacation Bible School (VBS) activities at TRUE LIFE CENTER. I understand that there are inherent risks involved in any event, and I hereby release TRUE LIFE CENTER, it’s employees, it’s agents, and it’s volunteer workers from any and all liability and any injury, loss, or damage to person or property that may occur during the course of my child’s involvement with VBS. In the event that my child requires medical attention and I cannot be reached, I give the church permission to seek reasonable medical attention as deemed necessary, and I release the church and the persons of any liability against personal losses of me/my child. I also acknowledge and consent that pictures of my child may be taken during this event and may be used by TRUE LIFE CENTER for purposes of promoting TRUE LIFE CENTER and future events without any monetary remuneration or other claims or compensation.