At the Church Gym | 1300 S. Teare Ave, Meridian, ID 83642
Saturday, February 17, 2024 | 4:00 to 7:00 PM
Comfortable, yet appropriate clothes and invite a friend!
$5 and Dinner will be included.
Name of Activity
Name of Child
Address of Child
City of Child
State of Child
Date of Birth of Child
Allergies to Medication
Any Medical Conditions
Name of Parent/Guardian
Parent/Guardian Phone Number
Cell Phone Number
The undersigned parent(s)/guardian(s) of the above minor-age child hereby gives consent to Treasure Valley Baptist Church, Inc ("TVBC"), and its agents, volunteers, and employees, etc., to act on my/our behalf in obtaining any medical treatment or care of any nature for said child and I/we authorize any medical person or entity to rely on this authorization. I/we agree to be solely liable and responsible for the costs of such treatment or care. I/we release TVBC, and its agents, volunteers, and employees, etc., from any liability of any nature whatsoever relating to the above activities. This release is full, complete, and absolute, except to the extent limited by Idaho law. I/we understand that this release and authorization is an absolute prerequisite to my/our child participating in this special activity and that it is retroactive to the first such participation even if signed later. I/we give permission to have my/our child participate in all activities connected with this special activity until this permission is revoked in a writing actually delivered to TVBC.
THIS IS A LEGAL FORM - PLEASE READ AND UNDERSTAND THIS FORM BEFORE SIGNING IT