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Upcoming Events

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To parents/guardians:

Your consent is required for child’s participation in this life building experience.


If you approve, please complete and return the lower half of this form.

Please submit $20 and the signed form 2 weeks before the camp start date.


I wish to be a community partner?: (Y) (N)

Ms. Vanessa Owens, Program Developer “

Martin Luther King Family Life Center Camp


Mlkflcenter@gmail.org

www.mlkfkc.org

757 808 4904


CHILD'S INFORMATION

RISK ACKNOWLEDGEMENT / HOLD HARMLESS CLAUSE

I allow my son/daughter to register for the Martin Luther King Family Life Center (MLKFLC) camp where we serve our community.

RISK ACKNOWLEDGEMENT / HOLD HARMLESS CLAUSE

Signature acknowledges understanding and acceptance of the following:


WAIVER FOR PARTICIPATION: Consideration hereof, I hereby, for myself, my spouse, my children, my heirs, successors, and assigns, now and forever, release, indemnify, save, defend, and hold harmless the MLKFLC its departments, officials, employees, and representatives from and against all claims including, but not limited to daims for personal injuries, death, fees, losses and costs resulting from or arising out of my or my child's participation in any activity sponsored, co-sponsored or run by the

MLKFLC.


CONSENT TO USE PHOTOGRAPHS: Stating further authorize the MLKFLC to take photographs, audio and video recordings of me and of my child at any MLKFLC facility, park or program for publications used in promoting MLKFLC programs.

In case of emergencies, the Program Leaders should call:


MEDICAL INFORMATION:

My daughter needs medication during the activity.
My daughter needs special assistance due to a disability.
My daughter requires special food due to allergies or religious requirements.

Registration Fee $20/person

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Vanessa Owens

  • I LOVE ME TOO!" Girls' Day Party Conference! 🎉 (1)
    I LOVE ME TOO!" Girls' Day Party Conference! 🎉 (1)
    Feb 08, 2025, 3:00 PM – 5:00 PM
    Chesapeake, 2711 Campostella Rd, Chesapeake, VA 23324, USA
    🎉 Get Ready for the 2nd Annual "I LOVE ME TOO!" Girls' Day Party Conference! 🎉 Calling all young ladies ages 8-15! 🌟 This is your chance to celebrate YOU like never before. Don't miss this unforgettable day filled with empowerment, inspiration, and self-love! 💖

Past Events

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