BUILD VBS
JULY 15th-18th

Join us from 6pm-8pm for this years VBS! Kids will engage daily with Jesus through music, interactive Bible stories, and Scripture memorization. All focused around our main point for the week: We must build our lives on Jesus! Cost is $25 that includes a t-shirt, snacks each night, and other take homes.
We are also looking for volunteers! Click here to sign up.

FILL OUT THE FORM BELOW TO REGISTER

Child Information

Parent/Guardian Information 

Secondary Emergency Contact

Consent and Release

CHURNCH IMAGE CONSENT & RELEASE
I, the legal parent/guardian hereby authorize and consent to the use of images or videos of my child/children listed above, with or without their name(s), by Tracy Community Church for purposes including but not limited to: promotional materials, printed publications, internet posts including social media, television, and other media sources. I do this with full knowledge and consent and waive all claims for compensation for use or for damages. I release Tracy Community Church, its officers, trustees, employees, and agents from liability for any claims by me or any third party in connection with the use of the image of my child/children listed above.


CONSENT & AUTHORIZATION FOR MEDICAL TREATMENT
I hereby authorize Tracy Community Church and his/her officers, agents, servants, or employees that are 18 years of age or older, who supervise the activities at this Tracy Community Church into whose care my child has been entrusted, to consent to medical care or dental care, or both, for my child under Sections 6901, 6902, and 6910 of the California Family Code. The authority granted by this authorization includes the authority to consent to any x-ray examination, anesthetic, medical, or surgical diagnosis or treatment and hospital care under the general or special supervision and upon the advice of or to be rendered by a physician and surgeon licensed under the Medical Practice Act for my child. It is understood that this authorization is given in advance of any special diagnosis, treatment, or hospital care being required but is given to provide authority and power on the part of the supervisor or his/her authorized designee, in the exercise of his/her best judgment, upon advice of such physician, dentist, and surgeon, may deem advisable.

RELEASE, WAIVER, AND INDEMNITY AGREEMENT  
IT IS THE INTENTION OF US, BY THIS AGREEMENT TO EXEMPT AND RELIEVE TRACY COMMUNITY CHURCH AND ITS OFFICERS, AGENTS, SERVANTS, OR EMPLOYEES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH OF MY CHILD CAUSED BY ANY ACT OF NEGLIGENCE OF TRACY COMMUNITY CHURCH AND ITS OFFICERS, AGENTS, SERVANTS, OR EMPLOYEES. For and in consideration of permitting my child to observe, or use any facility or equipment of TRACY COMMUNITY CHURCH or engage in and/or receive instruction in any activity or activity incidental thereto SOME OF WHICH MAY INVOLVE DANGERS AND RISK OF BODILY INJURY at: TRACY COMMUNITY CHURCH, during this year, the undersigned parent and/or guardian hereby voluntarily and absolutely releases, discharges, waives, and relinquishes any and all loss or damages or actions or causes of action for personal injury, property damage, or wrongful death occurring to my child as a result of my child's observing or using facilities or equipment of TRACY COMMUNITY CHURCH, or engaging in or receiving instructions in any activities SOME OF WHICH MAY INVOLVE DANGERS AND RISK OF BODILY INJURY or in activities incidental thereto wherever or however the same may occur, and for whatever period said activities or instructions may continue. The undersigned parent or guardian of my child, for him/herself, his/her heirs, executors, administrators, or assigns agrees that in the event any claim for personal injury, property damage, or wrongful death shall be prosecuted against TRACY COMMUNITY CHURCH or its officers, agents, servants, or employees, the undersigned parent or guardian will indemnify and hold harmless TRACY COMMUNITY CHURCH and its officers, agents, servants, or employees from any and all claims or causes of action by my child or by any other person or entity, by whomever or wherever made or presented, and under no circumstances will the undersigned parent or guardian present any claim against TRACY COMMUNITY CHURCH and said persons for personal injuries, property damage, wrongful death, or otherwise, caused by any act of negligence TRACY COMMUNITY CHURCH and said persons. The undersigned parent or guardian represent that he/she has read this Release, has requested and has been provided with, or has requested and declined advisement on the potential dangers/risks of engaging in the observation, activities, or instruction offered, assumes all risks associated with such dangers and risks, and is fully aware of and understands the terms and the legal consequences of the signing of this Release. The undersigned parent or legal guardian intends his or her signature to be a complete and unconditional release of all liability to the greatest extent allowed by law and if any portion of the Release is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.