Register for VBS

Rainforest Falls · June 23–27 · 6–9 PM at BICA Church

1
Your Info
2
Waiver & Sign

Child Information

Who are we registering today?

Parent / Guardian Information

How can we reach you?

Medical Information

So we can care for your child well. Write "None" if not applicable.

Emergency Contact

Someone we can reach if we can't reach you.

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BICA VBS Waiver Form

Liability, Medical Emergency, and Photo Release

Liability, Medical Emergency, and Photo Release

Effective for all Vacation Bible School activities with BETHEL INDIA CHRISTIAN ASSEMBLY (BICA)

By signing this form you are consenting to put your greatest treasure into our care, which is our honor and pleasure. We will do everything we can to keep your child safe and sound as we participate in Vacation Bible School. For each activity we keep in mind safety considerations and emergency procedures so that if anything unfortunate happens we will be ready. However, there are times when unforeseen circumstances beyond our control do occur, and the statements below are intended to protect the congregation and staff of Bethel India(n) Christian Assembly (hereafter, BICA) in those situations.


In consideration of your accepting my child(ren) for participation in VBS, I hereby, for my heirs, executors, administrators, and myself waive and release any and all rights and claims for damages that I may have against BICA and its agents, employees, representatives, successors (collectively "Representatives") and assignees for any and all injuries suffered by myself or my child(ren) that arise out of VBS sponsored by the above named organization.

I warrant that I have the right to authorize the foregoing and do hereby agree to hold the above named organization harmless of and from any and all liability of whatever nature, which may arise out of or result from such participation.

For the consideration stated above, I further agree that in the event that my child(ren) or I should make any claim against the above named organization for damages arising out of the above named program, activity or sport, I will personally indemnify, defend, and hold harmless the organization and its agents, employees, representatives, successors, and assigns against any and all loss and damage, occasioned thereby, including attorney's fees.

In the event of an emergency, I hereby authorize BICA and its Representatives to take any steps they deem necessary to obtain emergency medical care and I hereby release BICA and its representatives any financial liability incurred during such emergency treatment. We will have doctors and nurses on site for any medical issue that should arise and by signing this waiver you consent to allowing immediate care either by an on site professional and or any medical professional should we need to take your child to the hospital. If the injury is serious, you consent to allowing representatives at BICA to Call an ambulance and/or take your child to the emergency room and you will be liable for all costs as needed.

By signing below I also give permission to BICA to use photographs, videos, and other recording likeness and images taken at the event in promoting other activities sponsored by the Church and for any purposes the Church may see fit.

I have read and understand this Agreement and have willingly placed my signature below as evidence of my acceptance of all the conditions contained herein.

Type your full legal name below as your electronic signature.

Please type your name to sign.
Signed on:

You're in the Rainforest!

Thanks for registering!

We'll see you at BICA Church · 522 East 131st St S, Jenks, OK on Tuesday, June 23. Get ready to explore the wild wonder of God!

🕔 Check-in begins at 5:15 PM on the first day

💵 $5 registration fee — paid at check-in on the first day of VBS

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