VBS Roar Registration 2019

June 17-21 / 9-12:30pm | Please fill out this form and click submit.
$40 FOR ONE, $35 EACH CHILD THEREAFTER
JBC Kids Camp will run June 17-21 every day from 9am-12:30pm with lunch afterwards. We are planning a trip to Lincoln Park Zoo (kids that will be entering 1st-6th Grade in the Fall) so that the kids really experience this adventure!!
Parent/Guardian Information

 
 
 
 
 
 
 
 
Child #1

 
 
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Child #2

 
 
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Emergency Contact Information

 
 
 
Photo Release Form

I hereby grant permission for the acquisition of photography, video and/or recordings of my image, voice and sounds and to use any or all such photographs, recordings and reproductions thereof in and/or as part of any motion picture, video production, audio production, broadcast, published products, displays, exhibitions or related advertising. I further grant the use of my name in connection with my image, comments and opinions. 

I hereby grant and assign to Jubilee Bible Church all non-exclusive rights of every type and nature and the unlimited distribution and other utilization of the pictures, imagery, recordings or products by any method or in any manner and in any and all media, including theatrical, non-theatrical, radio, videocassette or disk, television, electronic usage, and printed products, and to advertise and publicize said products, in perpetuity, throughout the world. 

I hereby waive any right to inspect or approve the finished product and the advertising or other copy that may be used in connection herein. The parties to this contract expressly agree that the laws of the state of Illinois shall govern the validity, construction, interpretation, and effect of this contract. Completion and signing of this release does not guarantee use of acquired imagery, audio or information.
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Waiver of Liability

Jubilee Kids Ministry: ROAR VBS

Waiver/Release Permission Slip

I give permission for my child(ren) to participate in the ROAR VBS Camp on Monday June 17, 2019 through Friday, June 21, 2019 from 9am-12:30pm at Jubilee Bible Church (900 Foster Avenue, Medinah, IL 60157) 

Should any emergency situations arise, I give the pastors, parents, teachers & volunteers of Jubilee Bible Church the authority to take any actions necessary.  This authorization is given for the express purpose of ensuring the safety, health, and well-being of my child and other members of Jubilee Kids Ministry during the given time period, and includes, but is not limited to, emergency medical attention.  I waive any claims of liability against Jubilee Bible Church, the staff, parents, teachers& volunteers of Jubilee Bible Church, or any other parties associated with Jubilee Bible Church for any harm incurred in furtherance of the purpose of the authorization. 

IMPORTANT INFORMATION:  IN ADDITION, If your child is going on the Zoo Trip, the following waiver applies to your child as well:

Jubilee Bible Kids Camp: Zoo Field Trip
Thursday, June 20th, 2019
Waiver/Release Permission Slip
I give permission for my child to participate in the Lincoln Park Zoo Field Trip (1st to 5th Graders) on Thursday, June 20th, 2019 from 9:00am to 12:30pm at Lincoln Park Zoo ( 2001 N. Clark St, Chicago, IL 60614)




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Description

June 17-21 / 9-12:30pm
Please fill out this form and click submit.
$40 FOR ONE, $35 EACH CHILD THEREAFTER
JBC Kids Camp will run June 17-21 every day from 9am-12:30pm with lunch afterwards. We are planning a trip to Lincoln Park Zoo (kids that will be entering 1st-6th Grade in the Fall) so that the kids really experience this adventure!!