Summer Blast 2025

Signup Entry

Child Information


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Parent / Guardian Information


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Photo Release


I grant First Church of God, its representatives and employees the right to take photographs of my child. I authorize First Church of God, its assignees and transferees to copyright, use and publish the same in print and/or electronically. I agree that First Church of God may use such photographs of my child with or without his/her name for any lawful purpose, including, for example such purposes as publicity, illustration, advertising and web content.

Emergency Medical Release


I give my permission for my child to participate in Summer Blast 2025 sponsored by First Church of God. In the unlikely event of an emergency, I grant permission for the church to authorize and consent to any x-ray, medical or surgical diagnosis for treatment or hospital care to be rendered under the general or special supervision and on the advice of a licensed physician, surgeon, anesthesiologist, dentist, or other qualified medical personnel acting under their supervision in the treatment found necessary for the correction of conditions considered detrimental to the health and well being of my child. I understand and I am liable and agree to pay all costs and expenses incurred in connection with such medical and dental services rendered to my child.