Youth Group Registration Form

Youth Group Registration form

Westview Baptist Church
Parent/ Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent or guardian email*
Phone Number of parent or gaurdian*

Area CodePhone Number
Emergency contact's name*

First NameLast Name
Emergency contact number *

Area CodePhone Number
Emergency contacts relation to youth
Authorized for pick up*

MotherSiblingFatherEmergency contactMy child can dismiss themselvesOther
Are you part of a Faith community?*
Youth's name*

First NameLast Name
Grade*
Youth's Birthday *

MonthDayYear
Date
Allergies/ Medical Concerns
Health card No. (optional)
Second Child's name (optional)
Child's Birthday

MonthDayYear
Date
Allergies/ Medical Concerns
Health card No. (optional)
We like to promote our youth programs by taking and posting photos or video on our social media, on our webpage, to share with our church. Please let us know if we can take your child's photo.*

Yes, you can use my child's photoYes, you can use my child's photo, but do not include a namePlease do not take my child's photoOther
This consent/waiver form is a general consent for the year of September 2024 – August 2025. In the event of an overnight activity, a separate consent form will be sent home with specific information. Youth will not be allowed to participate in youth events that are off-site unless this consent form is completed.

I am aware that medical officials can authorize emergency medical care that is required should the need arise. This would apply only when a serious condition exists and Westview Baptist Church youth leaders and medical officials have been unable to contact the parents/guardians. Precautions are taken for the safety and health of your child, but in the event of accident or sickness, Westview Baptist Church, its staff and volunteers are hereby released from any liability.
Please type "yes" if you have read and agree to the above statement.*
I give permission for my son/daughter to participate in Westview Baptist Youth Group events for the year of September 2024 – August 2025*

yesOther
I give permission for my youth to participate in scheduled online meetings and events organized by the church should youth group events be moved online.*

yesnoOther
My child understands that they cannot forward, publish or share pictures which show another person(s) without first ensuring that express written permission has been given through youth group registration.*

yesno
Please add any other important information or questions regarding your child in this section
Should be Empty:

Youth Group Registration form