CREATION Life Saturday Children's Church
 Saturdays 11:30 am - 1:30 pm
​Registration Form

    Parent/Guardian 1

    Parent/Guardian 2

    Child

    Health Information

    I declare under penalty of perjury under the laws of the state of Kentucky that to the best of my knowledge, information, and belief my child is in good physical health and is capable of participating in physical activities. I hereby authorize my child to participate in such activities.

    General Terms and Conditions

    I hereby agree that we will adhere to all of the rules and regulations of the program.
    I hereby unconditionally release the church and program, and any of their officers, directors, employees, volunteers and anyone working under, through or in connection with any of them with respect to any incident, claim, occurrence, loss, injury, or damage that could or may arise out of such participation, including, by way of illustration and not limitation, travel to, from, and within the country; use of any and all facilities used for activities or any part thereof; social; cultural and other events (including, by way of illustration and not limitation, trips and educational programs); and any other events or activities in which my child/ward may participate or engage.