VBS Registration Form 2019

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Permission For Medical Treatment, Photograph/Video Notice, and Release and Indemnity


My permission is granted for the church, church official, event staffer, or adult present or in charge of First Aid, to obtain necessary medical attention in case of sickness or injury to my child.  Also, I understand that as a participant, my child may be photographed or videotaped during normal church or event activities and these photos/videos may be used in promotional materials.  I, the undersigned, do herby verify that the above information is correct and I do herby release and forever discharge First Baptist Church of Ashburn or event Sponsors from any and all claims, demands, actions or causes of action, past, present, or future arising out of any damage or injury while participating in activities. Permission includes transportation provided by the church.