February 22-23
Life Church Campuses

What is it like to be a real live princess?  An Heir to a throne?  Join us as we explore a royal life with God as our King! 
For grades K-5th Grade
(6-8th grade can volunteer as student staff) 
Feb. 22:  Drop off:  6:30 p.m.
Feb 23:   Pick up:  8:30 a.m.

FISHERS:  9820 E 141st St., Fishers IN  46038
NOBLESVILLE:  2200 Sheridan Rd., Noblesville  46064
EAGLE CREEK:  5901 Lafayette Rd. Indianapolis, IN 46254

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* 1. Child (First Name only)

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* 2. Child (Last Name only)

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* 3. Birthday (00/00/0000)

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* 5. Which Sleepover will your child(ren) attend?

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* 6. Child's Medical Information (must complete- use N/A if not applicable to your child)

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* 7. Family Information:

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* 9. Which church do you currently attend, if any?

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* 10. MEDICAL CONSENT AND RELEASE:

I, the undersigned, have legal custody of the child named above, a minor, and have given my consent for my child to attend events being organized by Life Church Assembly of God, Inc. (“Church”). The Church includes its Pastors, employees, agents, and volunteer workers. I understand and consent that my child may be taught Biblical principles.

*   Medical Consent: If my child experiences a medical situation, and I or my emergency contact cannot be reached, I give my permission to seek whatever medical attention is deemed necessary by the Church, and transport my child by ambulance or private vehicle to the nearest medical facility. In the event that my child is injured and requires medical services, I consent to any medical treatment as deemed necessary by a licensed physician. I also acknowledge that I will be ultimately responsible for the cost of any medical services should the costs not be reimbursed by any health insurance provider. I release the Church from any and all medical services and costs.

*  Release: I understand that there are inherent risks involved in any ministry or activity, and I hereby release the Church from any and all liability, loss, or damage to person or property that may occur during the course of my child’s involvement. In the event treatment is required from a physician and/or hospital personnel designated by the Church, I agree to hold the Church free and harmless of any and all liability, claims, demands, or suits for damages arising from the giving of such consent.

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* 11. Permission form and Medical release form are required.  Please click on link to access.  Registration,forms, and payment are due February 15th. 

Click on link and scroll down to parent forms.
https://lifechurchin.com/connect/resources

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* 12. Payment is $15 per girl with a $25 family max.  Each girl may bring guests for $5 each.   How would you like to pay?

To pay online click on link.  Please indicate campus and "sleepover". 
https://lifechurchin.com/give

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* 13. Questions?  Comment below or email Pastor Tina Pavy:  tina@lifechurchin.com

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