Family Experience Registration Form

Parent Name

This address will receive a confirmation email

Phone

Address

Please list each of your children attending. If you do not have multiple children, please type NA.

1st Child's Name

1st Child's Grade

Special Needs Pre K - 1st Grade 2nd - 4th Grade 5th - 6th Grade

2nd Child's Name

2nd Child's Grade

Special Needs Pre-K- 1st Grade 2nd - 4th Grade 5th - 6th Grade N/A

3rd Child's Name

3rd Child's Grade

Special Needs Pre-K - 1st Grade 2nd - 4th Grade 5th - 6th Grade N/A

4th Child's Name

4th Child's Grade

Special Needs Pre-K - 1st Grade 2nd - 4th Grade 5th - 6th Grade N/A

Please list any other children's name and grade. If you do not have any, please type, "N/A.'

Accident Waiver and Release of Liability - Photography & Filming

I acknowledge and fully understand that participating in our Family Experience entails certain inherent risks of injury. By attending this event, I willingly assume complete responsibility for any injuries, losses, or damages that I may sustain while attending or participating in the Family Experience organized by New Life Assembly of God.

Furthermore, I recognize that my presence at this event may result in photography and video recording. By entering the premises, I hereby grant my consent for such recordings to be captured and acknowledge that they may be released, published, exhibited, or reproduced by New Life Assembly of God. Your participation signifies your acceptance of these terms and conditions.

Parent/Guardian Signature

Family Experience Registration Form

Description

Please Fix the Following