Registration for Victory Life Eggstravaganza
Saturday, April 20, 2019

Parent Information
Name *
Name
Phone *
Phone
Child 1
Name
Name
Child 2
Name
Name
Child 3
Name
Name
Disclaimer *
By this Waiver, I assume any risk, and take full responsibility and waive any claims of personal injury, death or damage to personal property associated with the Eggstravangaza event organized by Victory Life Baptist Church. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Victory Life for injury, loss or damage arising out or my or my family’s use of or presence upon the facilities of Victory Life, whether caused by the fault of myself, my family, Victory Life or other third parties. I consent to the participation of the listed children in the Eggstravaganza, and agree on behalf of the above minor(s) to all the terms and conditions of this agreement. By signing this release of liability, I represent that I have legal authority over the above minor(s). I understand and confirm that by signing this WAIVER AND RELEASE I have given up considerable future legal rights. I have signed this agreement freely, voluntarily, under no duress. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law. I am 18 years of age or older and mentally competent to enter into this waiver.