Overcoming any obstacle with God’s Power!! Vacation Bible School Monday-Wednesday June 8th-10th 2015 Church of Corpus Christi Monday & Tuesday 8:30am-3:30pm Wednesday 8:30am-1pm (For children Preschool-5th grade.) We will conclude with Mass and lunch for the whole family on Wednesday beginning at 12:00pm. Registration fee of $35.00 per child includes crafts, lunches and snacks. Make checks payable to Corpus Christi Parish. Registration deadline is June 1st. Everest Registration Form (Please fill out one per child) Child’s Name_____________________________ Grade Completed______ Does your child have special needs or allergies? Yes No Explain ______________________________________________________ Parent’s Name(s)_______________________________ Phone #____________ Work # _________________________ Cell # ___________________ Address_____________________________City ________________ Zip _______ Email Address: _____________________________________________ Other emergency contact person_______________________________ Phone # _____________________ Cell # ____________________ Everest VBS Disclaimer Form I, _________________________________, parent/guardian of _______________________________________, hereby state that I have read and agree to the following: 1. In the event of a medical emergency, I give Corpus Christi’s staff the right to authorize treatment deemed necessary to save the life or limb by a licensed physician. All attempts will be made to contact the parent or guardian at the phone numbers provided. 2. I hold Corpus Christ Church, its agents and employees free from any liability resulting from accidental injury or death of the above minor. Parent/Guardian Signature_________________________________________ Date _____________ Please sign the above disclaimer and complete the registration form on the front. Return bottom portion of this form and 35.00 payment per child to Corpus Christi Parish, 1919 N 2nd Street, Bismarck, ND 58501