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Child's Name *
Child's Name
Parent/Guardian's Name *
Parent/Guardian's Name
Date of Birth
Date of Birth
Gender *
Home Address *
Home Address
Phone *
Emergency Contact Number *
Emergency Contact Number
Acknowledge of risk and waiver of liability *
ACKNOWLEDGE OF RISK AND WAIVER OF LIABILITY I hereby consent to my child(s) participating in the programs of the Life Church Level Up 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.