ELEVATE
SUMMER REFUEL

Name *

First Name

Last Name

Phone

(###)

###

####

Does This Student Have Allergies?

Yes

No

Acknowledgment of risk and waiver of liability (required) ACKNOWLEDGMENT OF RISK AND WAIVER OF LIABILITY.

I hereby consent to my child(s) participating in the programs of the Life Church VBX Vacation Bible School. I understand that injuries can occur and risk is involved in any athletic activity for my child. I further agree that Life Church, along with the employees, agents, officers, and directors of Life Church shall not be liable for any losses or damages occurring as a result of my child’s participation in activities, except where such loss or damage is the result of the intentional or reckless conduct of one of the organizations or individuals identified above. This acknowledgment of RISK AND WAIVER OF LIABILITY has been read and is signed voluntarily.

I Agree (Clicking agree serves as your legal signature)