this is not a valid registration form

Parent/Guardian Name
Parent/Guardian Name
Phone *
Phone
Child 1 Name
Child 1 Name
Child 1 Gender
ADMIN: Group for child 1
Child 2 Name
Child 2 Name
Child 2 Gender
ADMIN: Group for child 2:
Child 3 Name
Child 3 Name
Child 3 Gender
ADMIN: Group for child 3
As a parent/legal guardian of the children registered for Kids Town Camp on this form, I authorize the administration of emergency medical treatment for them during this week-long event. I understand that all reasonable safety precautions will be taken at all times by Christ’s Church and/or its agents. I also understand that in the event of a medical emergency, every attempt will be made to contact me, and/or any other emergency contact people listed below immediately. I will not hold Christ’s Church or its agents liable for any accident, injury, or disease incurred to/by my child(ren) while they are attending this event. This consent will be in effect for the duration of Christ’s Church Kids Town Camp week *
Parent/Guardian full name (considered signature)
Parent/Guardian full name (considered signature)
(Include first and last name as electronic signature)
Emergency Contact Name *
Emergency Contact Name
Emergency Phone Number *
Emergency Phone Number
I hereby authorize Christ's Church Federal Way, hereafter referred to as “Company,” to publish photographs taken of myself and/or the minor child or children listed below, and our names and likenesses, for use in the Christ's Church's print, online, social media and video-based marketing materials, as well as other Company publications. I hereby release and hold harmless Christ's Church from any reasonable expectation of privacy or confidentiality for myself and for the minor child and children listed below associated with the images specified above. Further, I attest that I am the parent or legal guardian of the child or children listed below and that I have full authority to consent and authorize Christ's Church to use their likenesses and names. I further acknowledge that participation is voluntary and that neither I, the minor child, or minor children will receive financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other Company publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I hereby release Christ's Church, its contractors, its employees and any third parties involved in the creation or publication of Company publications, from liability for any claims by me or any third party in connection with my participation or the participation of the minor children listed below. *
If you are registering more than three children, please complete this form again once you have submitted it.