VBS Mission: DEEP SEA

June 12, 2022 5:45pm

Address: Lincoln Presbyterian Church | Stockton, 900 Douglas Rd, Stockton, CA US 95207

Cost: $15.00

Contact: Heidi Verheyden e

Our annual VBS  is a Mission: Deep Sea theme! The kids will be diving deep into what it means to be a follower of Christ.  We will jump into a night filled with dancing, Bible stories, games, crafts, Missionary stories and more!  June 12th-15th from 5:45pm-8pm each day on the LPC church campus! Kids will get  a theme shirt and dinner will be available from 5:20-5:40 pm.

All kids Grades Prek-6th can sign up. $15 Registration fee can be paid online here or bring it with you on June 12. 

Online Registration

Vacation Bible School June 12-15

Kids PreK-6th grade $15 Registration fee. 

Child Information

Child #2

Please fill this out if you have additional athletes you're registering!

If not, please proceed to the "Parent or Guardian Information" section.  

Child #3

Please fill this out if you have additional athletes you're registering!

Child #4

Please fill this out if you have additional athletes you're registering!

Parent or Guardian Information

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Address*

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We'd just like to know if you're connected to a church. If not, please just write "None."

Medical History

Special Concerns (allergies, medications, medical conditions, disabilities, etc.) If none, write none.

Special Concerns (allergies, medications, medical conditions, disabilities, etc.) If none, write none.

Special Concerns (allergies, medications, medical conditions, disabilities, etc.) If none, write none.

Special Concerns (allergies, medications, medical conditions, disabilities, etc.) If none, write none.

RELEASE, WAIVER, AND INDEMNITY AGREEMENT

IT IS THE INTENTION OF US, BY THIS AGREEMENT TO EXEMPT AND RELIEVE LINCOLN PRESBYTERIAN AND ITS OFFICERS, AGENTS, SERVANTS, OR EMPLOYEES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH OF MY CHILD CAUSED BY ANY ACT OF NEGLIGENCE OF LINCOLN PRESBYTERIAN AND ITS OFFICERS, AGENTS, SERVANTS, OR EMPLOYEES.
For and in consideration of permitting my child to observe, or use any facility or equipment of LINCOLN PRESBYTERIAN or engage in and/or receive instruction in any activity or activity incidental thereto SOME OF WHICH MAY INVOLVE DANGERS AND RISK OF BODILY INJURY at: LINCOLN PRESBYTERIAN in Stockton, California, during this year, the undersigned parent and/or guardian hereby voluntarily and absolutely releases, discharges, waives, and relinquishes any and all loss or damages or actions or causes of action for personal injury, property damage, or wrongful death occurring to my child as a result of my child's observing or using facilities or equipment of LINCOLN PRESBYTERIAN, or engaging in or receiving instructions in any activities SOME OF WHICH MAY INVOLVE DANGERS AND RISK OF BODILY INJURY or in activities incidental thereto wherever or however the same may occur, and for whatever period said activities or instructions may continue. The undersigned parent or guardian of my child, for him/herself, his/her heirs, executors, administrators, or assigns agrees that in the event any claim for personal injury, property damage, or wrongful death shall be prosecuted against LINCOLN PRESBYTERIAN or its officers, agents, servants, or employees, the undersigned parent or guardian will indemnify and hold harmless LINCOLN PRESBYTERIAN and its officers, agents, servants, or employees from any and all claims or causes of action by my child or by any other person or entity, by whomever or wherever made or presented, and under no circumstances will the undersigned parent or guardian present any claim against LINCOLN PRESBYTERIAN and said persons for personal injuries, property damage, wrongful death, or otherwise, caused by any act of negligence by LINCOLN PRESBYTERIAN and said persons. The undersigned parent or guardian represent that he/she has read this Release, has requested and has been provided with, or has requested and declined advisement on the potential dangers/risks of engaging in the observation, activities, or instruction offered, assumes all risks associated with such dangers and risks, and is fully aware of and understands the terms and the legal consequences of the signing of this Release. The undersigned parent or legal guardian intends his or her signature to be a complete and unconditional release of all liability to the greatest extent allowed by law and if any portion of the Release is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

By typing your initials above you are signing your agreement to the above statement.

Type your initials above

Type your initials above

I, the legal parent/guardian hereby authorize and consent to the use of images or videos of my child/children listed above, with or without their name(s), by Lincoln Presbyterian of Stockton, CA for purposes including but not limited to: promotional materials, printed publications, internet posts including social media, television, and other media sources. I do this with full knowledge and consent and waive all claims for compensation for use or for damages. I release Lincoln Presbyterian, its officers, trustees, employees, and agents from liability for any claims by me or any third party in connection with the use of the image of my child/children listed above.

By typing your initials you are agreeing to the above statement

THE ABOVE STUDENT INFORMATION AND HEALTH HISTORY IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

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