Name of Guardian *

First Name

Last Name

Cell Phone

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By registering my keiki for Bounce ‘N BBQ at University Avenue Baptist Church (UABC), I give my consent for UABC to use my child's photographs and video footage in church promotion, publicity, and website. (Please check below) *

If you choose to not permit us to take photos of your child at this event, please be sure your child receives an armband.

I Do

I Do Not

By registering my keiki for Bounce ‘N BBQ at UABC, I, on behalf of myself and/or the minors I have registered, do hereby release, forever discharge and agree to hold harmless UABC, its pastor staff, leadership, employees, and volunteers from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by myself or those I have registered while participating in the Bounce ‘N BBQ at UABC. I and the minor(s) I am registering assume all risk of personal injury, sickness, death, damage and expense as a result of participation Bounce ‘N BBQ at UABC. *

I Do