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UBC VBS CAMP REGISTRATION

WED.-FRIDAY | July 29th-31st | 6pm-8pm | @ Unity Baptist Church

FREE! MEAL INCLUDED EVERY NIGHT!

PRESCHOOL-6TH GRADE

FUN. BIBLE. PRIZES. GAMES.

REGISTER BY JULY 1ST FOR A GUARANTEED FREE T-SHIRT!

Please fill out the following form.

Total Number Of Children Being Registered To Attend
Child 1's Birthday
Month
Day
Year
Child 1's T-Shirt Size
Child 2's Birthday
Month
Day
Year
Child 2's T-Shirt Size
Child 3's Birthday
Month
Day
Year
Child 3's T-Shirt Size
Child 4's Birthday
Month
Day
Year
Child 4's T-Shirt Size
Will your child be needing transporation? (Only eligible for children 4 and up)
YES
NO

I give my permission for my child(ren) to participate in Vacation Bible School taking place July 29th-July 31st at Unity Baptist Church (Mt. Olive, NC). I voluntarily and knowingly accept and assume the known risks involved in the program for myself and my child

in consideration for Unity Baptist Church allowing us to participate in the program. I hereby fully release and forever

discharge the parties named above, along with heirs, officers, agents, employees, and volunteers from any and all liabilty in the extremely rare circumstance that an incident may happen.

I understand and acknowledge the significance and consequence of my specific intention to release any and all such

claims and I hereby assume full responsibility. This release knowingly and voluntarily signed with the intent to be legally

bound.

I understand that by my child (ren)’s participation in this Church's youth activity, his/her picture could be taken and used in

press releases, brochures, video, CD/DVDs, websites, etc. for publicity use only. This authorization will remain in effect

forever. I understand that I have the right to revoke this authorization at any time by submitting written request. This

agreement does not obligate the use of your child (ren)’s picture.

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Contact Us:

Unity Baptist Church

489 NC-55, Mt Olive, NC 28365

(919) 658-5455

Mailing Address:

P.O. Box 728

Mount Olive, NC 28365

Sunday Services:

Sunday School: 10:00 A.M.

Morning Service: 11:00 A.M.

Sunday Evening: 6:00 P.M.

Wednesday Service:

Midweek Service: 7:00 P.M.

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