Children's Ministry Registration Form 2023-2024

Child's Info

Name

Gender

Female Male

Birthdate

Grade

Pre-School Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Not in School Yet

Alberta Health Care #

Allergies - Does your child have any allergies we should be aware of? Please list them below:

Do you have any special instructions or physical, emotional, mental, behavioral concerns/limitations for this child that we should be aware of?

I/We, the parents/guardians named above, authorize the ministry staff of Gospel Centre to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the child named above. I/We, named above undertake and agree to indemnify and hold blameless the ministry staff, Gospel Centre, its pastors and board of elders from and against any loss, damage or injury suffered by my child as a result of being part of the activities of Gospel Centre, as well as any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in or traveling to events of Gospel Centre. By checking one of the boxes below and typing my name below, I am electronically signing this consent form.

Yes No

Sign your name here

Parent / Guardian Info

Name

Phone

This address will receive a confirmation email

Address

Photo of Child

Upload (8MB)

I give Gospel Centre Church permission to photograph my child/children and/or take video footage. These photographs and/or videos may be used by Gospel Centre Church. Forms of distributing this content may include promotional material, publications, advertisements, website and social media. By checking one of the boxes below, I am electronically signing this consent form.

Yes No

Sign your name here

Children's Ministry Registration Form 2023-2024

Description

Please Fix the Following