Youth Fun Night Registration

August 4 2023 @ 7pm | Please fill out this form and click submit.
Please list your child(ren) and age(s)

Permission Form/Liability Waiver

PARENTAL CONSENT The undersigned does hereby give permission for my child(ren) to attend and participate in any Victory Community Church children/youth ministry activities, events, camps, and childcare.

DIGITAL IMAGE RELEASE - I give Victory Community Church permission to photograph my child(ren) and use his or her picture solely for the church's website or social media accounts. Victory Community Church will never publish a child's name in any publication.

LIABILITY RELEASE -  I, the undersigned, do hereby release, forever discharge and agree to hold harmless Victory Community Church, its pastors, directors, employees, volunteers and teachers (collectively herein the “Church”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the Participant while involved in the children/youth activities and childcare. I the parent or legal guardian of this Participant hereby grant my permission for the Participant to participate fully in children/youth ministry activities and childcare, including trips away from the church premises. Furthermore, I, on behalf of my minor Participant(s), hereby assume all risk of accidental personal injury, sickness, death, damage, and expense as a result of participation in recreation and work activities involved therein. The undersigned further hereby agrees to hold harmless and indemnify said Church for any liability sustained by said Church as the result of the negligent, willful or intentional acts of said Participant, including expenses incurred attendant thereto.

MEDICAL TREATMENT PERMISSION - I authorize an adult, in whose care the minor(s) has been entrusted, to consent to any emergency x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital or emergency care facility. The undersigned shall be liable and agrees to pay all costs and expenses incurred in connection with such medical and dental services rendered to the child or youth pursuant to this authorization.

 - By giving us your email, you are agreeing to receive periodic emails from VCC. You can change your mind at any time by clicking the unsubscribe link in the footer of any email you receive from us. We will treat your information with respect. For more info, visit our website to see our privacy policy.


I agree to the above permissions and liability waiver

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August 4 2023 @ 7pm
Please fill out this form and click submit.