VBS 2019 Registration

I, the parent/guardian of the above registered minor/minors, hereby authorize the director/s or adult leaders or caregivers of The Churches of Charles VBS to act on my behalf while I am absent, and consent to any x-ray examination, medical, dental or surgical diagnoses, medical treatment and hospital care advised and administered by emergency personnel or health care providers. A representative of The Churches of Charles will attempt to contact me in case of emergency. I hereby release The Churches of Charles, their staff, teachers, agents and advisors, from responsibility and liability for any injury or illness my child may sustain or from any claims, causes of action or demands that may arise in connection with my child’s/children’s participation in Vacation Bible School for any reason; including, but not limited to, claims of negligence of third parties in connection with, related to or as a result of any of these activities. This authorization shall remain in effect until revoked in writing and delivered to authorized agents of The Churches of Charles. By checking the box below, I also give The Churches of Charles permission to use, reprint and produce any photographs or videos taken of my child/children during his/her/their participation in church activities. I understand that these images will remain anonymous and be used for ministry purposes only.

Enter the number of children you wish to register.