Register for VBS 2022

CCYC VBS is for children ages 3-11. By filling out this information you agree to the following terms. Church Event Liability Release Form In order to participate with Calvary Chapel Yuba City activities of 2021. Should my child require immediate or emergency medical care while engaged in an activity sponsored by the Church, in my absence, I hereby grant the Church authority to release my child for medical treatment to such medical personnel as the Church determines appropriate under the circumstances. In consideration for the privilege of allowing my child to participate in the above- named activity, I agree to release and hold harmless the Church, its officers and agents, from any liability to or responsibility for bodily injury, damage or illness to the below-identified child while participating in any youth athletic or social activity which may be directly or indirectly sponsored by the Church. Further, I agree to indemnify and hold harmless the Church, its officers and agents with respect to any claim asserted by or on behalf of my child as a result of bodily injury, illness, or damage. Child (ren)’s Allergies: PLEASE READ CAREFULLY, THIS PERMISSION SLIP IS A LEGAL DOCUMENT WHICH INCLUDES A RELEASE OF LIABILITY AND INDEMNIFICATION

Parent/Guardian Name(Required)
Add additional children with the + button next to the row.
if so, please list.
If so, please list:
I verify all my children attending are completely potty trained(Required)
May your children be photographed?(Required)