VBS ‘23 CAC Children’s Ministry Child Release Waiver

Vacation Bible School for ages 4-11

June 14 - 16th

5:30 PM - 8:30 PM

Registration and check-in starts at 4:45 - 5:15 PM

Music, skit, lessons, crafts, games, snacks, and a whole lot of fun!
PLEASE FILL OUT ALL SECTIONS AND PRESS SUBMIT

 
 
 
 
 
 
I also give my permission for my child to be photographed or videotaped while at Cornerstone Apostolic Church, and I understand these pictures or videos may be posted on the church website at www.cornerstonena.org and or the church social media pages on Facebook and Instagram @cacnorthaugusta 
Please select all that apply.
Please select all that apply.
 
 
 
 
Please select all that apply.
 
 
 
 

My child has my/our permission to ride or walk to and from Cornerstone Apostolic Church in a motor vehicle operated or escorted by foot by a member of Cornerstone Apostolic Church to participate in all activities while at Cornerstone Apostolic Church, 836 Edgefield Rd, North Augusta, SC. Activities at Cornerstone Apostolic Church may involve close contact with staff and other participants while at or in transit to and from Cornerstone Apostolic Church. (hereinafter called “CAC"). This consent form gives permission to seek whatever medical attention is deemed necessary and releases CAC, its staff, and volunteers of any liability against personal losses of child named above. 



Parent/Guardian Consent and Release:



I/We, the undersigned, have legal custody of the student named above, a minor, and have given our consent for him/her to attend events being organized by CAC. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/We hereby release CAC, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child's involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and /or hospital personnel designated by CAC, I/We agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the student named above. I/We also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by the student ministries staff member.

This release form is good one year from signing and then must be resigned.

 
 
*By entering my name in the box above, I am providing my digital signature on this Form.
 
 

Description

Vacation Bible School for ages 4-11

June 14 - 16th

5:30 PM - 8:30 PM

Registration and check-in starts at 4:45 - 5:15 PM

Music, skit, lessons, crafts, games, snacks, and a whole lot of fun!