Acorn Crew Playdate, Tuesday, June 30, 10:00 - 11:00 AM
Acorn Crew Playdate May 26.
Parent's Name
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Phone
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Email
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This address will receive a confirmation email
I understand the Acorn Crew is for parents with children ages newborn through 3 years. I understand that my child/children will be under my supervision while enjoying Acorn Crew activities.
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Please select one option.
Yes
Please list the names & ages of children attending the playdate:
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SafeChurch Event Waiver: I recognize that there are risks involved in participating in this activity and hereby assume all risk of injury, harm, damage, or death in connection with myself and my child's participation in this activity. I understand and agree that neither First Baptist Church Cornelia nor its trustees, officers, directors, employees, agents and representatives may be held liable in any way for any injury, harm, damage or death that may occur to my child or myself as a result of our participation in this activity and hearby release First Baptist Cornelia, its trustees, officers, directors, employees, agents, and representatives from any injury, harm, damage or death, which may occur while I or my child am participating in this activity. To the fullest extent permitted by law, I agree to save and hold harmless First Baptist Church Cornelia, its trustees, officers, directors, employees, agents, and representatives of any claim by myself, my child, my estate, heirs, successors, assigns, or other person arising out of mine or my child's participation in this activity. I authorize First Baptist Church Cornelia through its trustees, officers, directors, employees, agents, or representatives to render or obtain such emergency medical care or treatment for me or my child as may be necessary should any injury, harm or accident occur to me or my child while participating in this activity. I understand and acknowledge that First Baptist Church Cornelia does not provide health or medical insurance in connection with the activity and I agree that I will be financially responsible for any bills incurred as a result of medical treatment, including emergency medical treatment and/or transportation to a medical facility, in connection with my or my child's participation in the activity.
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Please select all that apply.
I agree
Submit
Description
Acorn Crew Playdate May 26.
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