2025 KARATE VBS PARTICIPANT

July 21 2025 - July 25, 2025 | Here we go!!!!
Drop-off begins at 0845 am / Pick-up begins at 12:00 pm
Parent Information

 
 
 
 
 
 
 
 
 
Please select all that apply.
Please select all that apply.
Tell us about your Participant

 
 
Please select all that apply.
 
 
Please select all that apply.
Medical/Health Insurance Information

 
 
 
 
 
 
 
 
 
 
Please select one option.
Please select one option.
 
Permission for Publicity

On occasion, Gulf Breeze Presbyterian Church takes photographs or makes an audio or videotape recording of children and/or adults involved in church/youth activities. I consent to the use of any such audio or visual records of the child names above or me, if I am participating to be used, distributed or displayed as agents of the church see fit.
Please select all that apply.
Permission/Waiver Release of Liability

By signing this waiver form, I grant permission for the child named above or I, if I am a participant, to participate in and engage in the VBS Program of Gulf Breeze Presbyterian Church. My child or I are physically and mentally able to participate in these activities unless I have already discussed it with one of the leaders. I acknowledge that there are certain risks involved in said activities and have discussed them with my child if necessary. I release Gulf Breeze Presbyterian Church, its affiliates, volunteers, and employees of all responsibilities for any injuries, to body or property, which may occur to my child during these activities, except for negligence. In the event of an emergency, in which I or the alternate contact cannot be reached, I authorize the adult leaders to make medical decisions for my child, and to administer first aid, if deemed necessary. I further agree to indemnify and hold harmless Gulf Breeze Presbyterian Church and its affiliates, volunteers, and employees of any and all claims arising from my child’s or my participation in activities or as a result of injury or illness of my child or me during such activities, including but not limited to exercising any medical decisions or administering any first aid in the circumstances referred to above, except for negligence. I represent that I am the participant, or parent/guardian of child listed above, who is under 18 years of age. I have read the Permission/Waiver Form and am fully in agreement with the contents thereof. I give permission for the child named above or I to fully participate in the activities of Gulf Breeze Presbyterian Church.
 
 

Description

July 21 2025 - July 25, 2025
Here we go!!!!
Drop-off begins at 0845 am / Pick-up begins at 12:00 pm