Summer 2025 Registration Question Title * 1. Please list your student(s) name and age: Question Title * 2. Parent/Adult Name: Question Title * 3. Phone Number: Question Title * 4. My student(s) will be to attend the following dates: (check all that apply) June 4th June 11th June 18th June 25th July 2nd July 9th July 16th July 23rd Other (please specify) Question Title * 5. Will your student(s) need to ride the bus to or from service? Yes (provide address in #6) No (skip to #7) Question Title * 6. If yes, please provide address: Question Title * 7. Check the box below, to consent to all activities at Faith Tabernacle this summer, including the bus route as needed. I hereby release, waive, and hold Faith Tabernacle its staff, volunteers, agents, and representatives from any and all liability, claims, or demands for personal injury, illness, or accidents which may occur while my child is being transported or participating in this event, except in the case of gross negligence or intentional misconduct. In the event of an emergency, I authorize the adult leaders to seek medical treatment for my child and agree to be financially responsible for any resulting expenses Other (please specify) Done