By pressing submit, I acknowledge and agree to the following:

 

From time to time, First Church of God records events, including audio and video recordings and photographs, in various activities at church-related functions.  I understand and agree that FCOG will own any such recordings (audio, video, photographic, electronic, and print) of the participant and authorize FCOG to use such recordings for advertising, promoting, or providing products or services of FCOG.

 

This consent form gives permission for the staff and/or volunteers of First Church of God and the Joy Prom to seek medical attention whenever it's deemed necessary and releases the Church, staff, and volunteers of any liability against personal losses of name participant.  I consent for him/her to attend Joy Prom and all activities pertaining to this event.  I understand that there are inherent risks involved in any ministry, and I hereby release the Church, it's pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of this participants involvement.  In the event that he/she is injured and requires the attention of a doctor, I consent to any reasonable medical treatment as deemed necessary by a licensed physician.  In the event treatment is required from a physician and/or hospital personnel designated by the Church, I agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent.  I also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider.  Further, I affirm that the health information provided above is accurate at this date and will, to the best of my knowledge, still be in force for the participant named above.  

 

I have legal custody of the participant named above, a minor, or I am of legal age to consent to these terms and conditions.

If you would prefer to register by mail, click on the Joy Prom Registration Form.  You can mail it to:

 

Casie Campbell

Attn: Joy Prom

PO Box 311

Mt. Sterling, KY  40353