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Plan a Visit
About Us
Who We Are
Our Team
Constitution & Articles of Faith
Ministries
Missions
Resources
Live Stream
Sermons
Donor Dashboard
Events
Contact Us
Give
Plan a Visit
About Us
Who We Are
Our Team
Constitution & Articles of Faith
Ministries
Missions
Resources
Live Stream
Sermons
Resources
Donor Dashboard
Events
Contacts Us
Give
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Child's Name
*
First
Last
Child's Gender
Male
Female
Child's Age
5
6
7
8
9
10
11
12
13
14
Child's date of birth
*
Child's Last Grade Completed
Pre-K
Kindergarden
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Parent/Guardian Name
*
First
Last
Parent/Guardian Email
*
Parent/Guardian Phone
*
Street Address
*
City
*
State
*
Zipcode
*
Allergies, Medical Conditions, or Special Needs
In Case of Emergency, Contact
*
First
Last
Emergency Contact Phone
*
Relationship to Child
*
Permission & Agreement
*
I agree and give my permission
Permission to Participate:
I, hereby grant permission for my child to participate in the BLAST hosted by Lewisville Bible Church. I understand that my child will be under the supervision of responsible adults at all times during the event.
Photography and Video Release:
I hereby grant Lewisville Bible Church the irrevocable and unrestricted right to use and publish photographs and/or videos of my child taken during BLAST for use in materials promoting future events, including but not limited to, promotional videos, brochures, newsletters, and the church website or social media platforms.
Liability Waiver:
I understand that participation in BLAST involves certain risks, including but not limited to, accidents, injury, and loss or damage to personal property. I hereby release Lewisville Bible Church, its employees, volunteers, and agents from any and all liability, claims, demands, and causes of action arising out of or related to any loss, damage, or injury that may occur as a result of my child's participation in BLAST.
Emergency Medical Treatment Authorization:
In the event of a medical emergency, I authorize Lewisville Bible Church and its representatives to secure necessary medical treatment for my child, including but not limited to, transportation to a medical facility, administration of medication, and emergency medical procedures. I understand that every effort will be made to contact me in the event of a medical emergency.
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