Fall Festival Registration
Child's name
*
Address
*
City, State, Zip
Contact Phone Number
*
Age
*
Is your child allergic to milk?
*
Yes
No
Is your child allergic to nuts?
*
Yes
No
Other allergies
Parent's/Guardian's Name
*
Name of emergency contact
*
Emergency Phone Number
*
Are you and your family currently members of or regularly attending a church?
*
Yes
No
Do you want a call from the pastor for more information about Westlane Christian Church?
*
Yes
No
By filling out this online form and answering “Yes” to the following question you are aware and accept the risks of physical injury associated with participation in Westlane Christian Church’s (WCC) Vacation Bible School (VBS). Also the participant (or parent/guardian) accepts financial responsibility for any bodily or personal injury sustained during VBS. Further, the participant (or parent/guardian) promises to hold harmless WCC and its representatives for any injury related to VBS. If a dispute over this agreement or any claim for damages arises, the participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable arbitration process.
*
Yes
No
Form filled out by:
*
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