Breakfast with Santa Registration

Breakfast with Santa Registration

How did you hear about this event?(Required)

Mother's Name
Mother's Cell Phone
Mother's Address

Father's Name
Father's Cell Phone
Father's Address

Section Break

Children
Child 1
Name
Mailing Address
If different from registering parent

Release: To the fullest extent permitted by law, I release Mountain Creek Church of Christ, its trustees, officers, directors, employees, agents and representatives from any injury, harm, damage or death which may occur to my minor child while participating in the activity and agree to save and hold harmless Mountain Creek Church of Christ, its trustees, officers, directors, employees, agents and representatives from any claims arising out of my minor child’s participation in the activity.

General: I give my consent for my child(ren) to attend meetings, activities, and events hosted by the church.

Medical: In the event of a medical emergency and when contact cannot be made in a timely manner to the emergency contact listed, I give my permission for my child(ren) to receive appropriate medical attention.

Photograph release: Occasionally photos & videos may be taken during VBS, Sunday school, worship, youth group events, or other church activities. I grant permission for Mountain Creek Church of Christ to post photos and videos including my child(ren) in church publications, including online media.

Parent/Guardian Signature(Required)