Southside Baptist Church

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Event Information & Facilities Request

Drive-in Movie Servers


popcornsnow conesdrinkswhere needed

LifeChangers: July 20-24, 2020

This will be for a half day and no spending the night. The cost is $25 per person including adults that are helping. T-shirts and lunch will be included.

Daily Schedule:
8:30-1:30 - Monday thru Wednesday

Registration







7th8th9th10th11th12thAdult


SMLXL

Submit Registration


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Kids Night Out

Will he/she be eating pizza?
YesNo

Emergency Contact (parent/guardian preferred)

Medical Release

As a parent and/or guardian, I do herewith authorize treatment under the direction of any licensed physician of the minor(s) registered above in the event of a medical emergency which, in the opinion of the attending physician, may endanger his or her life or cause disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted only after a resonable effort has been made to reach me.

The undersigned assumes the responsibility for any cost connected with such treatment. I hereby agree to release Southside Baptist Church and its staff and volunteers from liability in the event of injury.

A copy of this authorization can be used as the original.






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