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Student Summer Camp-Volunteer Registration on Thursday, June 28, 2018 @ 9:00 AM


Please fill out the additional registration information below. Thank you!

*Last Grade Completed:
*Date of Birth:
*T-Shirt Size:
*Emergency Contact Name:
*Emergency Contact Phone:
*Emergency Contact Relationship:
*Parent First Name:
*Parent Last Name:
*Parent E-mail Address:
*Parent Phone:
By submitting this form you agree to the terms and conditions listed below. TERMS/CONDITIONS I/We, the parents or guardian of the above named child, hereby give approval for my/our child to participate in any and all Collierville First Baptist Church activities. I/We assume all cost, risk and hazards incidental to such participation, including transportation, feeding, and recreation. I/We hereby grant permission for any church staff or adult sponsor present to obtain necessary medical, dental, or mental health treatment in case of sickness or injury to my child when I/we are not available to grant authorization and agree I/we shall be financially liable for said treatment and agree to indemnify and hold harmless Collierville First Baptist Church, its staff and adult sponsors for any such treatment. I/We do verify that the above information is correct, and waive, release, absolve, indemnify and agree to hold harmless Collierville First Baptist Church, its staff, sponsors, supervisors, service providers and chaperones from any claims, demands and actions arising out of damage or injury to my/our child while participating in Collierville First Baptist Church activities whether the result of negligence or for any other cause. You will need to print and turn in to the Student Ministry office a medical form if you have not filled one out in the last six months. Otherwise we the Student Office has it on file. If you do not have access to a printer you may pick these forms up in the Student Ministry office.