Liability Waiver Please print the following Liability Waiver, Sign it, and bring it with you on the first day of camp.
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| Attached Document: | Activity Participation Release of Liability & Photo Release.pdf |
| First Name * |
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| Last Name * |
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| Home Address* | |
| Phone (xxx-xxx-xxxx format) * |
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| Email * |
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| Verify Email * |
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| 18 years or older?*
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| Volunteer's current grade or grade just completed, if youth? If you are in or just completed 7th, you must register as a camper. Youth in or just completed 7th are volunteers in training. |
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| Home Church * |
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| PHOTO RELEASE CONSENT HERE** By registering myself or my child for VBS, Basketball o MUMC Summer Camp, I authorize mine or my child’s image may be used in photographs, video, print and web presentations. ** |
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| A t-shirt is included with registration. Please estimate your T-shirt size.* |
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$5 donation to cover the t-shirt cost.*
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ALLERGIES OR OTHER MEDICAL CONDITIONS |
List any known Allergies or other medical conditions
Put N/A if None* |
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| Emergency Contact * |
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| Phone (xxx-xxx-xxxx format) * |
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VOLUNTEER AND CHILDCARE NEEDS
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| Do you need to register your children for VBS?* |
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| Do you need to register your child for Basketball or MUMC Summer Camp?* |
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Children at VBS (List all and their DOB)
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| Which position would you like to work? We will try to honor all requests but can not guarantee it. If you have someone you want to be a co-leader with you, please list their name in the comments section below. *
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Additional Comments/Questions |
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