2019 BCC Day Camps - School Strike

Please email Becky Fitch at beckyjfitch@gmail.com for more information on payment.   

Parent Name *
Parent Name
Date of Care Required *
*Please put birth year. and grade
Nut or any allergies? *
If yes to the above please Specify
DISCLAIMER OF LIABILITY & RELEASE OF CLAIMS - IMPORTANT - PLEASE READ CAREFULLY This Disclaimer of Liability and Release of Claims is to be executed by the participant, or if the participant is a minor, by the participant’s parent/guardian. The Application for Program Registrations (“Application”) will not be accepted unless it has been executed. In consideration of the Bradford Community Church accepting this Application I agree to this disclaimer of Liability and Release of Claims, and give my informed consent for my child to participate. Disclaimer: The participant assumes all risks associated with his or her participation in the programs offered by Bradford Community Church. Bradford Community Church accepts no liability for bodily injury, death, property or loss due to any cause whatsoever, including, without limitation, negligence on the part of the Bradford Community Church, including its elected officials, employees, agents and volunteers. Release: The participant and his or her parents/guardians waive any and all claims they may now and in the future may have against, and release from all liability and agree not to sue, the Bradford Community Church and its elected officials, employees, agents and volunteers. I hereby give permission for Bradford Community Church staff to take photographs of my child, children or myself. I understand that the photographs may appear in the Bradford Community Church newsletters, promotions and/or Bradford Community Church web site. I confirm that I have read this agreement before signing it and that I understand it and that it is binding not only on me and the participant but also on our helps, executors and assigns. This application will not be accepted unless signed.
Signature *
By putting your name you agree to the above waiver.