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Emergency Contact (if parent is unreachable)
Security Word and Medical Concerns
Conditions of Registration
I approve the application above and the conditions listed below. I have written any necessary and pertinent information concerning our family and our child.
I understand that my child will be engaging in supervised, sports related activities except as otherwise specified in writing.
In case of serious illness or injury I hereby give permission for medical care by a physician and/or hospital chosen by VBS Director/Nurse. I understand that every effort will be made to contact parent/guardian in case of emergency.