Register - Cypress Creek Church

# of Students*

Please enter a number from 1 to 3.

Grade (incoming)*

T-Shirt Size*

Allergies and/or Medications:*

Grade (incoming)*

T-Shirt Size*

Allergies and/or Medications:*

Grade (incoming)*

T-Shirt Size*

Allergies and/or Medications:*

Email*

Phone*

Arms of Hope 2023

Total

Credit Card*

Card Details

Cardholder Name

I, the undersigned, hereby release Cypress Creek Church, it's agents, employees, officers and servants, from any and all damages and injuries which may occur while (I/ my child) is participating in any/all Cypress Creek Church activities, on or off the premises. I also give my permission for Cypress Creek Church leadership to seek medical attention by a licensed physician in the event of a medical emergency. I certify that I have the legal authority to execute this release on behalf of (myself/ my child). I also agree, by signing below, that the above information is true and correct to the best of my knowledge.

Participant or Parent/Guardian Signature (if under 18 yrs. old)*

Date*