Adventure Club Registration Form 2025-2026

Bethany Baptist Church Adventure Club Registration

Please fill out this form to register your child for our program
Child # 1 Full Name*

First NameLast Name
Child #1 Age*
Child #1 Date of Birth*

MonthDayYear
Date
Child #1 Gender*

MaleFemale
Child #1 Alberta Health Care Number*
Child #1 Medical Conditions/Allergies/Special Considerations or Instructions
Child # 2 Full Name

First NameLast Name
Child #2 Age
Child #2 Date of Birth

MonthDayYear
Date
Child #2 Gender

MaleFemale
Child #2 Alberta Health Care Number
Child #2 Medical Conditions/Allergies/Special Considerations or Instructions
Child #3 Full Name

First NameLast Name
Child #3 Age
Child #3 Date of Birth

MonthDayYear
Date
Child #3 Gender

MaleFemale
Child #3 Alberta Health Care Number
Child #3 Medical Conditions/Allergies/Special Considerations or Instructions
Child # 4 Full Name

First NameLast Name
Child #4 Age
Child #4 Date of Birth

MonthDayYear
Date
Child #4 Gender

MaleFemale
Child #4 Alberta Health Care Number
Child #4 Medical Conditions/Allergies/Special Considerations or Instructions
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email Address*
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Photo Permission Waiver*

I grant permission for my child's photo to be used for promotional or other purposes by the program/club.I do not grant permission for my child's photo to be used.
Volunteer Opportunity

In order to run children's programming, we are in need of volunteers. If you are willing to be contacted to serve as a volunteer or occasionally provide a snack for the children participants, please indicate your preference below.
I would be interested to support Adventure Club in the following way

volunteerbring snack
Terms and Conditions: I agree to the terms and conditions outlined for participation in this program. I understand that participation involves certain risks and I release the program and its staff from any liability for injuries or damages incurred during program activities. I also consent to the use of any photos or videos taken of my child during program activities for promotional purposes. By signing this form, I acknowledge that I have read and understand these terms and conditions and agree to abide by them.*
Parent/Guardian Signature*

Clear
Registration Fees can be paid in person or by EMT to treasurer@bethanybaptist.ab.ca Please include in the message "ADVENTURE CLUB REGISTRATION FEE"*
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One child registration fee
$50.00CAD

Two or more children registration fee (FAMILY RATE)
$100.00CAD

Total

$0.00CAD
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Bethany Baptist Church Adventure Club Registration