Follywood: Comparing God's Values to Hollywood's
July 25 - 30, 2010 6:00 pm - 8:30 pm
Open to kids entering 1st - 5th grade this Fall.
(Please fill out a form for each child attending.)
Child's First Name:
Child's Last Name:
Grade Entering this Fall:
Parent/Guardian's Name:
Home Address:
City:
Zip Code:
Home Phone:
Cell Number:
Emergency Phone Number:
Special Instructions, Food Allergies, Physical Conditions, etc:
Do you want to purchase a T-shirt? YesNo Size?
Medical Release: This consent form gives permission to seek whatever medical attention is deemed necessary, and releases Oakwood Christian Church and its staff and volunteers of any liability against personal losses of named child. I/We the undersigned have legal custody of the student named above, a minor, and have given our consent for him/her to attend events being organized by the church. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss or damage to person or property that may occur during the course of my/our child's involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by the church, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. I/We also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by a staff member.
Signed: Date: