Call To Greatness Registration Form

Call To Greatness Registration Form

Ewtonville Baptist Church June 16-20, 2025
Institution Name
STUDENT INFORMATION
Name

First NameLast Name
M.I.
Birth Date *

MonthDayYear
Date
Gender
Grade completed *
Will your child be riding the church bus to and from CTG?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
EMERGENCY CONTACTS
Please list the first and last names and phone numbers off ALL adults who can be contacted in case of an emergency.
Primary Guardian*

First NameLast Name
Relationship to child*
Phone Number*
Alternate Guardian #1*

First NameLast Name
Relationship to child*
Phone Number*
Alternate Guardian #2

First NameLast Name
Relationship to child
Phone Number
Medical Information
Please list all allergies -- or type "none" if there are none*
Does your child carry an epi-pen? (please note: if yes, it is the responsibilty of the child's guardian to ensure the child has the epi-pen at every drop off and pick up)*

YesNo
Please list all medical concerns -- or type "none" if there are none*
Additional Information
CTG photos/videos are taken for promotional purposes related Call To Greatness. These pictures appear in various media outlets such as The News and our facebook page and webpage. Do you allow your child to be included in these photos/videos?*

YesNo
By submitting this form, I ackowledge I have read and understand the above information.
Signature

Powered by Jotform SignClear
Should be Empty:

Call To Greatness Registration Form

Medical Information

Additional Information