MCPC 2017 (June 19-23) Vacation Bible Shool Registration

(Please Initial) It Is Expressly Understood And Agreed That Mt. Calvary Church Should Not Be Held Responsible Or Legally Liable For Any Bodily Injuries, Or The Results Thereof, Incurred By The Applicant On Any Property Of Mt. Calvary, Or In Connection With Required:


Student's Name Required

Grade Entering in the Fall 17 Required

Allergies/Medical Conditions Required

Parent/Guardian's Name Required

Address Required

Phone Number Required

-
-

Email Address Required

Comments

Name Of Your Church (If You Attend One):

(Please Initial) It Is Expressly Understood And Agreed That Mt. Calvary Church Should Not Be Held Responsible Or Legally Liable For Any Bodily Injuries, Or The Results Thereof, Incurred By The Applicant On Any Property Of Mt. Calvary, Or In Connection Wit Required

(Please Initial) In The Event Of An Emergency, I Hereby Give Consent To Those In Authority To Administer Any Necessary Medical Attention And/Or Transport To Emergency Facilities: Required