Parent Name *

First Name

Last Name

Parent Phone# *

(###)

###

####

I acknowledge that participation in the activity described above involves risk to the participant (and to the participant's parents or guardians, if the participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, exposure to infectious/communicable disease, bodily injury, death, emotional injury, personal injury, property damage, and financial damage. In consideration for the opportunity to participate in the activity described above (VBS), the participant (or parent/guardian if the participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The participant (or parent/guardian) accepts personal financial responsibility for any injuries or damage that occur. *

I agree

I acknowledge there will be photos taken of my child during the VBS event that might be posted or used in advertisements on public platforms. *

I Agree