Fields marked with an * are required

I hereby release Good News Bible Church (GNBC) and its volunteer or paid employees from all liabilities that may occur while participating in this program. I give permission for my child to attend the AWANA program, and certify that they are in good health, free from communicable illnesses and are able to participate. If I cannot be contacted, and there is a medical and/or surgical emergency, I give permission to the physician/hospital selected by The GNBC leadership to hospitalize and/or secure proper treatment for my child as named above. I understand that if my child becomes ill or injured, my own health insurance coverage (including deductible) applies. I also give permission to use my child’s image/video in any publication materials (online or print) that could possibly be used to help promote the Ministry of GNBC.