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Statesboro Event

August 14, 10:30 a.m. – 2:30 p.m.
7th Mile Farm
7436 GA-46
Statesboro, GA 30458

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OneDay FunDay Registration

OneDay FunDay Statesboro Registration

Registration is required to attend the event. Deadline to register is August 4. Limited capacity - register early! OneDay FunDay Statesboro is provided by Mission Georgia of the Georgia Baptist Mission Board. Mission Georgia is collaborating with Families 4 Families to bring this event. If you have any questions, please contact: Shannon Ramsey at shannon@families4families.cc or 1 (470) 469-7766.

Fields marked with an * are required
Instructions: This form must be completely filled out. The information is vital to the health and well-being of the child.

PARTICIPANT REGISTRATION

Participant Name
Participant Name
First
Last

PARTICIPANT REGISTRATION

PARTICIPANT REGISTRATION

PARTICIPANT REGISTRATION

PARTICIPANT REGISTRATION

PARTICIPANT REGISTRATION

LEGAL GUARDIAN INFORMATION

3. Legal Guardian’s Name attending OneDay FunDay with children listed above:
3. Legal Guardian’s Name attending OneDay FunDay with children listed above:
First
Last
Legal Guardian Address
Legal Guardian Address
City
State/Province
Zip/Postal

Medical Information

Medical Insurance Coverage
I acknowledge that neither Georgia Baptist Mission Board, Families 4 Families Inc and 7th Mile Farms of Fostering Bulloch shall provide medical insurance coverage for myself or the children I am bringing to OneDay FunDay. I acknowledge that all information provided on this registration is current and correct.

Medical Release
If the above listed children are injured during their participation in any OneDay FunDay activity, Georgia Baptist Mission Board, Families 4 Families Inc and 7th Mile Farms of Fostering Bulloch do not assume any liability to provide or continue to provide any such services as required. I assume all responsibility for the well being of my child during the event. Should the children listed above require transport to a medical facility as a result of an injury, I am financially responsible for such transportation and medical treatment costs. If any of the children listed in my care are injured during camp, it is my responsibility to immediately notify a OneDay FunDay volunteer. I hereby hold harmless and agree to indemnify Georgia Baptist Mission Board, Families 4 Families Inc and 7th Mile Farms of Fostering Bulloch from any claims, causes of action, damages and/or liabilities, arising out of or resulting from said injury or medical treatment. I further agree to accept full responsibility for any and all expenses, including medical expenses that may derive from any injuries to the children listed above in my care that may occur during his/her participation at the OneDay FunDay.

I further acknowledge that this releases all participants and providers of the event from any responsibility or obligation to provide financial assistance or other assistance. I understand and acknowledge that this release binds myself, children listed above in my care, my heirs, administrators and personal representatives.

Other
I expressly agree that this content and release is intended to be as broad and inclusive as permitted by the laws of the state of Georgia in the United States of America., and that this release shall be governed by and interpreted in accordance with the laws of the State of Georgia. I agree that in the event that any clause or provision of this release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this release, which shall continue to be enforceable. This release shall be governed by and construed under the laws of Georgia.

I agree that any legal action or proceeding relating to this release as a result of myself or children listed in my care participating in the OneDay FunDay event shall be brought only in Bulloch County, Georgia.

Verification *
I agree that providing the requested information and checking this box is the same as having signed my name.

Parent/Guardian Digital Signature

By filling out your name and today's date below, you are providing a digital signature. You are acknowledging that all of the information provided is accurate and affirming that you have the legal right to provide this information on behalf of the child as their parent or legal guardian.

The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give you any information (including opinions) that they may have regarding my character and fitness for children or youth work. In consideration of the receipt and evaluation of this application to be a OneDay FunDay volunteer, I hereby release any individual, church, youth organization, charity, employer reference, or any other person or organization, including record custodians, both collectively and individually from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application.

I also understand that I am consenting to my personal image being used in media such as still pictures and videos for the possible use of future social media, online, training, or reporting related to Mission Georgia, OneDay FunDay, the Georgia Baptist Mission Board and partnering organizations.

I further state that I have carefully read the foregoing release and know the contents thereof and I sign this release as my own free act. This is a legally binding agreement which I have read and understand.

Applicant Verification *
I agree that providing the requested information and checking this box is the same as having signed my name.

Program Participation Agreement for OneDay FunDay

I, the undersigned, hereby acknowledge that the children listed in my care and myself are able to participate in OneDay FunDay. It is my wish for the children listed above to participate in any and all activities.
I release and forever discharge and hold harmless the sponsors, organizers, volunteers, and property site owners, specifically including, but not limited to Georgia Baptist Mission Board, Families 4 Families and 7th Mile Farms of Bulloch, as well as their affiliates, directors, officers, trustees, administration, and employees from any and all liability, claims and demands of any kind which arise or may hereafter arise from participation in the OneDay FunDay event. This release specifically includes, but is not limited to, any claim for negligence or negligent acts or omissions and any present or future claim, loss or liability for injury to person or property that I or the children listed in my care may suffer, which arises out of mine or those I have listed for participation during OneDay FunDay.

Once you submit this registration application, you will receive an email confirmation and a copy of your information. Your browser will also be redirected back to the Families 4 Families page.