Adult VBS Registration
This registration form will be active through midnight on Saturday, June 19, 2010. Walk-in registrations will be accepted beginning Monday, June 21, at 8:30 am in the church lobby.
* - Indicates REQUIRED entry
By checking the box below, you authorize and agree to the following:
1) I give the staff of University Hills Baptist Church's Vacation Bible School permission to
administer first aid to me. If I am incapacitated, I hereby authorize University Hills Baptist Church staff/members to call a physician or to
take me to the nearest hospital.
I give permission to the physician selected by the University Hills Baptist Church staff/members to hospitalize and secure proper treatment for me.
I do hereby release University Hills Baptist Church from any and all liability or claims for actions taken under this consent in good faith and
further agree to indemnify University Hills Baptist Church and hold it harmless against all expenses incurred by it in relying in good faith on this
consent.
2) I authorize the usage of images of me (i.e., photos, video) by University Hills Baptist Church
and its assignees for any lawful purpose, including such purposes as publicity, illustration, advertising, etc., in print or electronic form.
| *I agree to the above statement |
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If you have any other questions, please email vbs@universityhills.org.




