I certify that I am the parent or legal guardian of the aforementioned child(ren). I hereby release and agree to hold harmless Discovery Community Church (DCC) and the representatives thereof from any and all liability, claims, and demands for injury, sickness, or death which may be incurred by my child(ren) in the course of participation in Vacation Bible School (VBS) the week of June 20-23, 2016. I give authorization for DCC to provide transportation and obtain medical treatment if necessary. I also give permission for pictures to be taken for use in future promotions and to aid in registration.