VBS & SOCCER CAMP STUDENT SIGN-UP

Parent's Name *
Parent's Name
Address
Address
Phone *
Phone
Please list the full name of the child, the grade they're going onto, and his/her t-shirt size. Enter each additional child's information on a separate line.
Does your child have any food allergies?
Release of Liability: I, the aforementioned parent (legal guardian of the registering students), hereby release Carlton Hills Southern Baptist Church and its instructors, agents, employees, partnering ministries, and trustees of any liability of any injury (including death) that may occur at the above mentioned program and permit them to take my child(ren) to receive medical care should a circumstance occur where medical attention is required. *