Child's First Name: (Required)
Please complete this form for each of your participating children, thank you.
Liability Release: (Required)
In consideration for allowing my child to participate, I hereby release, waive, and discharge Valparaiso Baptist Church, its officers, agents, employees, and volunteers from any and all liability, claims, demands, or actions arising from any accident, injury, or illness that my child may sustain during the activity.
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