VBS 2017 Registration Form

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Parent/Guardian Information

Student Information

Emergency Contact/Approved Pickup

Parent Agreement

In the case of unresolved behavioral issues, I understand that Myerstown Baptist Church has the right to remove my child from VBS for the safety and well-being of other students. I also give MBC permission to administer basic first aid to my child and to transport my child, if necessary, to receive medical treatment and release MBC from any liability associated with such assistance. I assume responsibility for all costs connected to any accident or treatment of my child. I also give MBC permission to film or photograph my child during VBS for promotional purposes and/or for use in the closing program.

Description

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