VBS 2017 Registration Form

Use this form to register for Maryville Church of Christ Vacation Bible School 2017.

Where: 611 Sherwood Drive, Maryville, TN 37802
(Just across 129 from the Foothills Mall)
When: July 9th - 12th, 6pm - 8:30pm
Ages: 3 years through 5th grade

Note: Items marked with a "*" are required fields.
The child named above has my permission to attend Vacation Bible School (VBS) from July 9th-July12th from 6:00 PM to 8:30 PM at Maryville Church of Christ. I am the proper legal guardian for the child/children listed above and have authority to grant permission for them to attend the VBS. I understand that it is my responsibility to provide transportation for my child/children to and from the church. Should my minor child listed above require emergency medical treatment as a result of accident or illness arising during the VBS, I consent to such treatment. I grant permission for the staff and volunteers working at Maryville Church of Christ for its VBS to consent to and authorize medical care for my child on my behalf and transport my child for medical care in the event of an emergency, and I agree to be financially responsible for any medical bills incurred as a result of emergency medical treatment. I have fully disclosed all of my child’s allergies and medical conditions. I acknowledge that the nature of the participation in the VBS may expose my child/children listed above to hazards or risks that may result in illness, personal injury or death and I understand and appreciate the nature of such hazards and risks. In consideration of and in return for my child/children listed above being permitted to participate in the VBS at Maryville Church of Christ, I hereby release Maryville Church of Christ (and its board, employees, and volunteers) from any and all liability, claims and actions that may arise from injury or harm to the above-listed child in connection with participation in the VBS. I understand that this Release covers liability, claims, and actions caused entirely or in part by any acts or failures to act of Maryville Church of Christ (or its board, employees, or volunteers), including but not limited to negligence, mistake, or failure to supervise by Maryville Church of Christ (or its board, employees, or volunteers). I have read and understand the entire contents of this Parental Permission Form and agree to be bound by its terms.:

In order to submit this registration for processing, please enter the code you see below and then click the SUBMIT button.
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