Registration Form
Join us on the gym on Sunday, January 30 from 3:00 to 4:00 P.M. for an exciting scavenger hunt and Bible story! This is a drop off event, and it's open to children currently in the 4's and 5K classes at Shandon. Please wear comfortable clothes and sneakers.
Total 4's and 5's attending from your household
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Child's Name
*
First Name
Last Name
Additional Participants
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Yes
No
Child's Name
First Name
Last Name
Age
Four
Five
Child's Name
First Name
Last Name
Age
Four
Five
Parent's (or Emergency Contact) Name
*
Parent's Email Address
*
Parent's Cell Phone Number
*
-
Area Code
Phone Number
I will not hold Shandon United Methodist Church, any of its staff, nor activity leaders, responsible in the event of an accident or injury. I release Shandon United Methodist Church and its agents from any and all claims, demands, cause of actions, past, present, or future arising out of any damage or injury while participating in the church’s activities.
*
I agree
I do not agree
I consent that child has my permission to attend & participate in this event. I understand some of the activities in which my child shall participate will require physical exertion and the cooperation of my child. I will not hold Shandon United Methodist Church, any of its staff, chaperones or volunteers, responsible in the event of an accident or injury. In the event of serious illness or accident, efforts will be made to contact the patient’s parent or guardian. However, in the event delay in medical or surgical treatment may be detrimental to the health of the patient, I hereby grant the staff of Shandon United Methodist Church, and its counselors, the authority to consult with, seek treatment from, and/or surgery by the attending physician or dentist
*
I agree
I do not agree
Submit
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