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Name of Parent/Guardian

Phone

Email

Address

Name & Age of First Child Attending

Name & Age of Second Child Attending

Name & Age of Third Child Attending

Name & Age of Fourth Child Attending

Name & Age of Fifth Child Attending

I the parent/guardian of the child listed on this form give permission for participation in Vacation Bible School at New Direction International, Jenks, OK.

I hereby waive, release, absolve, indemnify, and agree to hold harmless New Direction International Jenks, Pastors, staff, volunteers and all its participants from all liabilities and any claims arising out of an injury to my child(ren) and or their property while participating.

Confirm by Typing Name

VBS Registration and Release

Register Now for VBS