Calvary Chapel Perth Amboy

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By clicking the Electronic Signature checkbox and and Submit button, I agree I am conducting this transaction electronically and in so doing I am agreeing to the following: I hereby consent to our child participating in the following activity with Calvary Chapel Perth Amboy Vacation Bible School, Calvary Chapel Perth Amboy, December 13th, 2019. In consideration of the said Calvary Chapel permitting our child to participate in the aforesaid activity, we hereby agree to indemnify and save harmless said Calvary Chapel, its officers, volunteers, adult chaperons, employees and agents against any and all claims for loss or liability incurred by or caused to our child as a result of said activity. If I cannot be reached, I grant permission to any physician or emergency medical personnel to render medical treatment necessary. Media Release Notice: I understand and agree with my electronic signature that Calvary Chapel Perth Amboy retains the right to use (without personal information) any photograph, videotape, or any other record of this event for the church’s website, publicity, advertising, or any other legitimate purpose. *

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