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Men’s League 24
VBS 24
Home
Our Church
Church History
Contact Info
From Pastor’s Desk
God’s Simple Plan of Salvation
Meet the Pastor
Ministries
Missionaries
Service Times
Weekly Prayer Sheet
What We Believe
MEDIA
Audio Sermons
Video Sermons
YouTube Channel
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OCCA
GIVE
Men’s League 24
VBS 24
VBS CONSENT AND RELEASE FORM
CONSENT AND RELEASE FORM FOR VBS
CONSENT AND RELEASE FORM FOR CHURCH ACTIVITY
I, the undersigned parent(s) or guardian(s), hereby consent to my child, participating in the activities connected with Vacation Bible School, an activity sponsored by Ocean County Baptist Church on the following dates: June 24-28, 2024. I understand that this activity will include the following: Bible Lessons, playing outside, running, active games, having a snack - If your child has allergies, please specify on this consent form, bring a snack, and give it to their teacher being CLEARLY MARKED WITH CHILD'S NAME, AGE & GRADE - inform your child to eat only what you give them. I certify that my child is able to participate in any and all of these activities. If my child has medical conditions which may be relevant to a physician in the event of an emergency, I have listed them below. In the event that an emergency occurs, I may be reached at the telephone number listed below. If I cannot be reached within a reasonable period of time, as determined by church officials, I hereby authorize the church or one of the adult sponsors, to make emergency medical decisions for my child. If there are any activities that I do not want my child to be involved in, I have listed them below.
I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITIES, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do, for myself and for my child, heirs and assigns, hereby irrevocably and unconditionally release, acquit and forever discharge Ocean County Baptist Church and its agents, employees, and volunteers from any and all liability, actions, causes of actions, claims, expenses, obligations and damages of any nature whatsoever, which I now have or which may arise in the future, in connection with my child's participation in the described activity or in any other associated activities including, but not limited to, any injury to my child or property, even injury resulting in death.
I further state that I HAVE CAREFULLY READ AND UNDERSTAND THE FOREGOING RELEASE AND I KNOW THE CONTENTS HEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. I understand that this is a legally binding agreement.
CHILD'S INFORMATION
Child's Name
*
First and Last Name
Child's Age
*
I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of New Jersey and that if any portion hereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto.
Medical Conditions to be aware of
Please list any medical conditions we should be aware of or simply type "N/A"
Physical Restrictions:
Please list any physical restrictions we should be aware of or simply type "N/A"
Instructions and Medications:
Please list any special instructions or medications your child is taking that we should be aware of or simply type "N/A"
Date of Last Tetanus or Booster:
*
I do NOT wish my child to participate in the following:
Please list any activities you do NOT want your child to participate in
PARENT/GUARDIAN INFORMATION
Parent or Guardian Name:
*
First and Last Name
Emergency Phone Number:
*
Please enter telephone numbers where you can be reached in an emergency
Verification
Please enter any two digits
*
Example: 12
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