Student Ministry Registration
Please complete the form with the required information for yourself and each child participating in the youth ministry (under Household members). This information will be kept confidential and used solely for ministry purposes. Thank you for your cooperation!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are You a member of Ramp Church Texas
*
Yes
No
Known Allergies/Medical Conditions
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Briefly describe all known allergies and/or medical conditions each child has. If none, type N/A
YOUTH PHOTO / VIDEO RELEASE FORM During regularly scheduled events and special events, our youth group often uses photographs and videos of our students for a variety of projects and media, including but not limited to: publicity, copyright purposes, illustration, advertising, and webcontent.Below is a release which allows you to indicate your preferences.Please indicate below whether the youth group has permission to use photographs, images, or video of your child(ren).
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Yes, I agree that photographs, images and/or video of my child may be used for any publications, including those prepared for both an internal and external audience.
No, I do not want my child’s photograph, image or video used in any way.
LIABILITY RELEASE In consideration of RAMP CHURCH TEXAS allowing the Participant to participate in children/youth ministry (Sunday worship, Sunday meetings, activities, events, retreats, lock-Ins, trips, etc.) and childcare, I, the parent/guardian, do hereby release, forever discharge, and agree to hold harmless RAMP CHURCH TEXAS, its pastors, directors, employees, volunteers, and teachers (collectively herein the “Church”) from any and all liability, claims, or demands for accidental personal injury, sickness, or death, as well as property damage and expenses, of any nature whatsoever, which may be incurred by the undersigned and the Participant while involved in the children/youth activities and childcare. I, the parent or legal guardian of this Participant, hereby grant my permission for the Participant to participate fully in children/youth ministry activities and childcare, including trips away from the church premises. Furthermore, I, on behalf of my minor Participant, hereby assume all risk of accidental personal injury, sickness, death, damage, and expense as a result of participation in recreation and work activities involved therein. The undersigned further hereby agrees to hold harmless and indemnify said Church for any liability sustained by said Church as the result of the negligent, willful, or intentional acts of said Participant, including expenses incurred attendant thereto.
*
Acknowledged
MEDICAL TREATMENT PERMISSION I authorize an adult, in whose care the minor has been entrusted, to consent to any emergency x-ray examination, anesthetic, medical, surgical, or dental diagnosis or treatment and hospital care to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital or emergency care facility. The undersigned shall be liable and agrees to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child or youth pursuant to this authorization.
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Acknowledged
EARLY RETURN HOME POLICY I Should it be necessary for my child or youth to return home due to medical reasons, disciplinary action, or otherwise, the undersigned shall assume all transportation costs and responsibility.
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Acknowledged
TRANSPORTATION PERMISSION The undersigned does also hereby give permission for my child/youth to ride in any vehicle driven by an approved and licensed adult chaperone while attending and participating in activities sponsored by RAMP CHURCH TEXAS. My child/youth and I understand that SEAT BELTS MUST BE WORN AT ALL TIMES during transportation. I, the parent or guardian, give my child permission to ride with a youth leader or approved driver. I understand that care will be taken to ensure the health, safety, and welfare of my child. I realize and accept that in the event of my child’s behavior adversely affecting the safety of the activity, the organizers reserve the right to return my child home.
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Acknowledged
Disclaimer By checking the box below, the parent/guardian acknowledges and agrees that the provided information is accurate and consents to the use of the collected data for youth ministry purposes only. The church and its staff shall not be held liable for any issues arising from the use or disclosure of the information provided.
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I agree
Submit
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