BK Reg

Child's Information

Child's Name*

First NameLast Name

Birthdate*

MonthDayYear

Gender*

MaleFemale

Current Grade/Age group at time of registration *

This is their current legal grade children born in 2020 and after are in the Nursery/Preschool category until September 2024. Forms will be edited on our end to reflect that.

Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry

Parent/Guardian Information

Parent/Guardian 1*

First NameLast Name

Parent/Guardian 2

First NameLast Name

Phone Number for contact & check-in*

Area CodePhone Number

Additional Number

Area CodePhone Number

Best E-mail for communication*

Additional email

example@example.com

Are there any allergies, chronic illness, or medical conditions? If yes, please describe.*

Type No if there isn't anything

Are there behavioral concerns or any situations that you would like to share?*

Type No if there isn't anything

Informed Consent & Acknowledgement*

In the event I cannot be reached in an emergency, I/We the parents or guardians named above hereby give my permission to the medical personnel selected by the Bayview Glen Church Ministry staff to secure emergency medical treatment including but not limited to, first aid, CPR, admission to any hospital, tests, surgery or general anaesthesia. I/We, named above, undertake and agree to indemnify and hold blameless Bayview Glen Church, its Pastors and Board of Directors from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of Bayview Glen Church. This consent and authorization is effective only when participating in or traveling to/from events of the Bayview Glen Church. I/ We understand that electronic devices are not allowed during programs. However pictures may be taken at designated times and events by participants. Photos or videos taken for church purpose/ promotion will never be published with names (unless parental permission is obtained). I/ We understand that the information being collected may be used for mail and electronic communication purposes ONLY by Bayview Glen Church. Information will never be given to a third-party.

Confirmation*

I acknowledge and agree to the above and by and entering my name below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.

Name*

First NameLast Name

Date*

Date

Purpose & Extent Bayview Glen Church is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to assign the student to the appropriate classes, to develop and nurture on going relationships with you and your child, and to inform you of program updates and upcoming opportunities at our Church. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish Bayview Glen Church to limit the information collected, or to view your child’s information, please contact us.

Bayview Kids Registration