Narnia

HEAR THE LION ROAR!

FUMC Vacation Bible School

July 3rd - 7th
9am-noon
FREE

*no bible school July 4th,
Join us for a church wide 4th of July cookout!
Everyone is welcome!

Narnia Vacation Bible School
Registration & Waiver

Waiver MUST be filled out by legal guardian*

Child's Information

* Indicates required field

Child Name *

First

Last

Gender *

Birth Month *

Birth Year *

School *

Grade Level *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Child's Health History

Allergies (Specify below) *

Chronic or recurring illness or medical condition *

Dietary restrictions *

Current Medications (list prescription, Over the counter & herbal)

Medication & reason for taking *

Any other information you feel the leader/teachers should know in advance: *

Parent/Guardian Information

Parent/Legal Guardian Name *

First

Last

Relation to child *

Phone Number *

Parent/Guardian Email * *

Alt. Contact Name *

First

Last

Relation to child *

Phone Number *

Waiver

FUMC is not responsible for the loss or theft of personal belongings.
Misconduct may result in transportation home from an activity. A dismissed for a disciplinary reason will not receive a refund of the activity fee.

I understand and authorize that my child's image may be photographed or filmed and used in video presentations, Children/youth ministry Facebook, and First United Methodist website.

My child may be photographed *

Yes No

I hereby take the following action for my child, myself, my executors, administrators, heir, next of kin, successors and assigns: A) I waive, release, and discharge from any and all claims or liabilities for death or personal injury damages of any kind, which arise out of or relate to my child’s participation in FUMC’s activities, the following person, or entities: FUMC, it’s Senior Pastor and Associate Pastors, Elders, employees, volunteers, representatives, subcontractors and agents of any of the above: B) I agree not to sue any of the persons or entities mentioned above for any of the claims or liabilities that I have waived, released or discharged herein except in the case of gross negligence in the part of FUMC, FUMC’s staff or volunteers and: C) I indemnify and hold harmless the person or entities mentioned above from any claims made or liabilities assessed against them as a result of my child’s actions. I hereby assume the risks of my child participating in all FUMC ministries activities

I hereby agree to all the above First United Methodist Waiver and Release Form Liability conditions. *

Yes No

I confirm that I am a legal guardian of the Child listed *

Yes No

Submit

NARNIA

Narnia Vacation Bible School Registration & Waiver

Child's Information

Child's Health History

Current Medications (list prescription, Over the counter & herbal)

​Parent/Guardian Information​

Waiver

We Would Love to Have You Visit Soon!

Narnia Vacation Bible School
Registration & Waiver

Parent/Guardian Information