Register for our event by filling out the information below: Please submit one entry for each child.
Please enter your full address:
The undersigned gives permission to his or her child to participate in the named activity and releases Northern Lights Christioan Center, its officers, employees, and agents from any liability whatsoever for any injury or death to person or loss or damaged to property sustained by the undersigned for any member of his family, in attendance, and the undersigned agrees to defend and indemnify the participant, its officers, employees, and agents from any liability or loss they might sustain by reason thereof. In the evnet I cannot be reached in an EMERGENCY, I herby give permission to the physician selected by the director of childrens ministry to hospitalize, secure proper treatment for, and order injection, anasthesia, or surgery for my chid as named above.
Success! This form has been submitted.