VBS Registration

Vacation Bible School at Fairfield Community Church

Contact Details

Parent or Guardian Information(Required)
Address(Required)
Student Information(Required)
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Media Release Consent(Required)
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Media and Liability Release

MEDIA RELEASE - permission granted to photograph/video and release images for church and community use. I, the undersigned, do hereby grant or deny permission to Fairfield Community Church to use the image of myself or my child as marked by selection (s) below. Such use includes the display, publication, or otherwise use of photographs, images and/or video taken of myself or my child for use in materials for purposes of church ministry including but not limited to the church Facebook pages or website.

LIABILITY RELEASE - in consideration for the child’s participation in Fairfield Community Church (FCC) VBS 2024, We/I, being 21 years of age or older, and sound mind do for ourselves (myself) and on behalf of the minor child do hereby assume all risk and release, forever discharge and agree to hold harmless FCC, its staff and agents thereof from any and all liability, claims, or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned or child while participating in the VBS event. We/l understand recreation activities and other physical activity will be part of the event. We/l are the parents(s) or legal guardian(s) of this child, and hereby grant our (my) permission for him/her to participate fully in said activities, and hereby give our (my) permission to take the child to a doctor or hospital in the event of an emergency and hereby authorize treatment, and we assume the responsibility of all medical bills.

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Media and Liability Release

MEDIA RELEASE - permission granted to photograph/video and release images for church and community use. I, the undersigned, do hereby grant or deny permission to Fairfield Community Church to use the image of myself or my child as marked by selection (s) below. Such use includes the display, publication, or otherwise use of photographs, images and/or video taken of myself or my child for use in materials for purposes of church ministry including but not limited to the church Facebook pages or website. LIABILITY RELEASE
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