VBS 2017

FUSE KIDS REGISTRATION

 

Child's Name *
Child's Name
Classroom *
Media Release *
By checking this box I permit Shelby Bible Church to take pictures with my child in them at Fuse events and activities. These pictures may be used on social media for promotional purposes.
Consent *
I the undersigned parent(s) or guardian(s), give consent to my child, to participate in programs and events of the Fuse Kid’s Ministry of the Shelby Bible Church. In consideration for my child being permitted to participate in the activities listed above, I do hereby agree to hold the Shelby Bible Church and its agents, employees, and volunteers harmless from, and to indemnify for, any and all liability, actions, causes of actions, claims, expenses, including attorneys fees, and damages on account of injury to my child, even injury resulting in death, which I now have or which may arise in the future in connection with my child’s participation in the afore mentioned activity and any other associated activities. I further agree to hold the Shelby Bible Church and its agents, employees, and volunteers harmless from, and to indemnify for, any and all liability, actions, causes of actions, claims, expenses, including attorneys fees, and damages on account of injury to a Third Party or his property which may arise in the future in connection my child’s participation in the activity and any other associated activities. I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Michigan and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement be¬tween the parties hereto and the terms of this release are contractual and not a mere recital.