VBS Registration Form

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Choose the days that your child will participate at VBS.
Please select all that apply.
 
 
Please read the following agreement and sign below:

I AM AWARE OF THE COVID-19 PANDEMIC AND RELATED GOVERNMENTAL ORDERS, DIRECTIVES AND GUIDELINES INCLUDING I AM AWARE THAT THESE ACTIVITIES ARE OCCURRING IN A PUBLIC LOCATION DURING THE COVID-19 PANDEMIC.
I AM AWARE THAT My Child or ward COULD BE INFECTED, SERIOUSLY INJURED OR EVEN Exposed to COVID-19
I hereby give permission to my child or ward to participate in all activities in the program
In connection with my child or ward’s voluntary involvement in activities undertaken for, and with the participation and support of Assyrian Evangelical Church of San Jose and Bay Area, a non-profit charitable organization, I hereby agree, for myself, my heirs, assigns, executors, and administrators to release and discharge  Assyrian Evangelical Church of San Jose and Bay Area, its directors,  and volunteers from all claims, demands and actions for injuries sustained to my child or ward’s person as a result of his/her involvement in such activities ,and I agree to release and hold  Assyrian Evangelical Church of San Jose and Bay Area, its directors, and volunteers harmless from any cause or action, claim, or suit arising therewith.
 I hereby attest that attendance and involvement in such activities is voluntary, that he/she is participating at his/her own risk, and that I have read the foregoing terms and conditions of this release.
I also give  Assyrian Evangelical Church of San Jose and Bay Area permission to take my child or ward to the hospital in case of any emergency and to administer medication that I provide for my child. I further attest that my child or ward has no allergies or special medical needs other than those listed above:
 
 

Description

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