VBS Permission Form

  • Christ Church Cranbrook (CCC)
    Vacation Bible School (VBS) 2017 (June 19-23)

    Christ Church Cranbrook | 470 Church Road, Bloomfield Hills, Michigan 48304

    Complete one form per child please

    Please read carefully before signing

  • Participant Information

  • Parent / Guardian Contact Information

  • Medical Information

  • Health Insurance Information

  • Photography Disclosure

  • We will be taking pictures of the fun during VBS.

  • Parent/guardian permission Emergency Medical Treatment

    This is to confirm that VBS, CCC and their staff has full and complete permission to render first aid and to seek and obtain medical care for my child in the event of any accident or illness which may occur, including the authorization to consent to emergency medical care. I understand that reasonable efforts will be made to advise parents/guardians of the individual’s condition prior to any treatment. I agree to pay all costs associated with such care and related transportation.

    In consideration of my child being allowed to participate in VBS activities, I hereby agree to Release, Hold Harmless, Indemnify and Defend VBS, CCC and their staff and agents from any and all claims, actions and damages arising directly or indirectly from VBS programs, including claims or actions brought by and/or on behalf of the child, and including, but not limited to: claims for injury or loss, and claims for negligence of VBS, CCC and their staff and agents.