Wonder Junction at North Albemarle Baptist Church

Family Information

Address

Street

Street 2

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Parent/Guardian First Name

Parent/Guardian Last Name

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Emergency Contact

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Who may pick your child up from dismissal? Please list all names (first & last) below as they are shown on their ID.

I, the undersigned, understand that participation in Vacation Bible School (VBS) at North Albemarle Baptist Church involves physical activities and group interaction. I acknowledge and accept any risks associated with such activities. I hereby release, discharge, and hold harmless North Albemarle Baptist Church, its staff, volunteers, and representatives from any and all liability, claims, demands, or causes of action that may arise from injury, illness, or accident incurred during participation in VBS. In the event of an emergency, I authorize church representatives to seek medical attention for my child/myself and accept financial responsibility for any treatment deemed necessary. By checking the box, I affirm that I have read and agree to this waiver. Liability Waver

Due to safety regulations and procedures, parents/guardians are not allowed to stay on campus for Wonder Junction Stations. By checking the box, I affirm that I have read and agree to this. Parent/Guardian Drop Off

Register for VBS

at North Albemarle Baptist Church

Family Information

Address

Student Information