Sunday School Registration Form 25/26

Parent/Guardian Name

First NameLast Name

Relationship

Parent/Guardian Name

First NameLast Name

Relationship

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Name

First NameLast Name

Relationship

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Any Allergies or Medical Conditions?

YesNo

Please give details

Do you want to add something about your child(ren)?

PROTECTING YOUR PERSONAL INFORMATION

Your child’s heath and personal information is collected to ensure the safety and well-being of each person involved in our Youth programs. This information will only be seen by the staff and volunteers of Cranbrook Fellowship Baptist Church. Please contact the church office for any privacy concerns you may have.

I, undersigned, agree with the following statements:

I am the parent/guardian of the child(ren) indicated above.I have read, understood and agree with the above and hereby release and discharge all parties associated with Cranbrook Fellowship Baptist Church Youth programs from any and all claims, demands, actions, and causes of action, that I/we or my/our child(ren) incur(s).If emergency medical care is needed and I am unavailable, I authorize the supervising teacher to seek medical treatment for my child(ren).I am giving my permission to take my child(ren)'s pictures for classroom projects and post them on the church website.

Date

Signature