Event Form

I, the undersigned, being the parent or legal guardian of the child named above, do hereby consent to the Participation of my child in all the regularly-scheduled activities at Restoration Church, located in Green Bay, Wisconsin, including field trips, camp outs, swimming, boating, hiking, sporting events, and any other activities customarily associated with a church activity. The undersigned agrees and does hereby release from liability and hold harmless Restoration ChurchGreen Bay and any of its employees or agents for any and all liability for personal injuries including death and property losses and damages in connection with any activity or accommodation of Restoration Church Green Bay. The church DOES NOT provide accident/injury insurance. Financial obligations for medical expenses and/or mental emotional trauma are a parent/child responsibility. In addition, I authorize Restoration Church Green Bay. to take and use any photo or video for the specific use of publicity within the realms of tv, internet, or printed material. It is the parent’s responsibility to notify the church leadership responsible for the activity of any change in information. The undersigned does hereby further agree to abide by all the rules, regulations, and directions presented by Restoration Church Green Bay and its agents or employees.

* Indicates required field

Name of Event *

Parent/Guardian *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Emergency Contact *

First

Last

Phone Number *

Number of Children *

1st Attending Child *

First

Last

2nd Attending Child *

First

Last

3rd Attending Child *

First

Last

4th Attending Child *

First

Last

Comment *

Submit