VBS Registration and Release

Parent/Guardian First and Last Name

Phone

Participant 1 First and Last Name

Participant 1 Age

Participant 2 First and Last Name

Participant 2 Age

Participant 3 First and Last Name

Participant 3 Age

Participant 4 First and Last Name

Participant 4 Age

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 with your initials