Sunday School Ministry Survey
vacation bible school registration
June 17 - 21, 2019
6:30 - 8:45 pm
PARTICIPANT MEDICAL AUTHORIZATION, WAIVER OF LIABILITY, CONSENT TO IMAGE RECORDING AND USE
(1) If reasonable attempts to contact me have been unsuccessful in an emergency, I hereby give permission to Mt. Zion Baptist Church and its Vacation Bible School to secure necessary emergency treatment including transport to a local hospital and for any licensed physician or dentist to administer any treatment considered necessary, understanding all charges are at my expense
(2) For and in consideration of permitting the person indicated above to enroll in and participate in Vacation Bible school at Mt. Zion Baptist Church, I, my child(ren), my executors and assigns, hereby voluntarily and forever release, discharge and relinquish Mt. Zion Baptist Church, its agents, officers, employees, and volunteers from any and all actions, causes of action, and claims for personal injury, permanent loss, or property damage of or to the participant arising out of, or in any way related to, their participation in such program, even though that liability may arise out of the negligence or carelessness of Mt. Zion Baptist Church or its officers, agents, employees, or volunteers.
(3) consent for my child’s image to be recorded, either by photograph or video, and used during the VBS week or for advertisement of Mt. Zion Baptist Church and/or its VBS programs through all forms of print and social media. I have read this entire waiver and permission form, fully understand it, and agree to be legally bound by its terms.
MZBC Community golf registration form
Saturday, July 27, 2019
Forest Green Golf Course
4500 Poa Annua Ln.
Triangle, VA 22172
7th Annual Golf Outing
Four golfers scramble
Registration: 7:30 am Shotgun Start: 8:30 am Cost: $100 per golfer
The includes range balls and 18-holes of golf, riding cart, lunch, and chance to win various prizes!
*Men and Ladies Longest Drive
*Men and Ladies Closest to the Pin
Deacon Stan Wooten 540-659-2526
Deacon Billie Keeler 703-402-1554
Deacon Willie Randle 703-945-9271
To make payments:
Make check payable to Mt. Zion Baptist Church 18410 Chapel Dr. Triangle, VA 22172
Make check payable to Deacon Stan Wooten
Make check payable to Deacon Billie Keeler
Pay online by clicking here