Adventure Club of Cedaredge

Adventure Club 2025-2026

Please fill out the following form to register ahead of time for Adventure Club of Cedaredge, a Bible program for kids age 4-11 (as of Sept. 7). Fee: $10 for the whole season (into early spring).
Child Information
Child 1 Name*
Full Name
Child 1 Birth Date*

MonthDayYear
Child 1 Gender*

BoyGirl
Grade*
Child 1 Food Allergies?

Add Additional Children (Optional)
Child 2 Name
Full Name
Child 2 Birth Date

MonthDayYear
Child 2 Gender

BoyGirl
Grade
Child 2 Food Allergies?
Child 3 Name
Full Name
Child 3 Birth Date

MonthDayYear
Grade
Child 3 Gender

BoyGirl
Child 3 Food Allergies?
Child 4 Name
Full Name
Child 4 Birth Date

MonthDayYear
Child 4 Gender

BoyGirl
Grade
Child 4 Food Allergies?

Parent/Guardian Contact
Parent/Guardian 1 Name*
Full Name
Parent/Guardian 1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian 1 Mobile Phone*
Please enter a valid mobile phone number with text message capabilities.
Parent/Guardian 1 Email*
example@example.com

Add Parent/Guardian 2 (Optional)
Parent/Guardian 2 Name
Full Name
Parent/Guardian 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian 2 Mobile Phone
Please enter a valid mobile phone number with text message capabilities.
Parent/Guardian 2 Email
example@example.com

Add Emergency Contact - authorized to pick up your child (Optional)
Emergency Contact Name
Full Name
Emergency Contact Phone
Please enter a valid phone number.

1. Release of Liability (Required): I, for myself, my minor child and for the child's other parent and/or guardian, hereby release, waive, discharge, and covenant not to sue First Baptist Church, and its officers, director, employees, agents, volunteers, heirs, and assigns of and from all liability, loss, claims, demands, possible causes of action, court costs, attorneys' fees and other expenses arising from any lawsuit that may otherwise occur from any loss, damage or injury to my child's person or property in any way resulting from or connected with my child's attendance at FBC Adventure Club, including, without limitation, the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons.
Release of Liability*

I Accept
2. Photo Release (Optional): I give permission for my child's photo, which may be taken during Adventure Club to appear on the church website https://www.cedaredgefbc.org/ or be used for publicity or display purposes.
Photo Release*

AcceptOpt out
3. Consent to Medical Treatment (Optional): In the event my child becomes ill or injured, I give permission for a representative of First Baptist Church to take whatever steps are reasonably necessary to render emergency first aid to my child. I also consent to such emergency medical treatment as may be reasonably necessary to render emergency first aid to my child. I also consent to such emergency medical treatment as may be reasonably necessary to insure the health and welfare of my child including, but not limited to, x-rays, anesthetic, medical or surgical diagnosis and treatment, hospital care and administration of drugs or medicine under the care of a licensed physician and/or surgeon.
Consent to Medical Treatment*

AcceptOpt out
4. FBC Contact Permission Authorization (Optional): Occasionally your child's group leader may wish to contact you and your child to see how they are enjoying club. Your child's leader might also like to send written correspondence such as "Get well" and "Birthday Card" cards. By signing below you are giving your child's leader written permission as the legal parent/guardian to contact you and your child, by written communication and by telephone to discuss club activities.
FBC Contact Permission Authorization*

AcceptOpt out
Additional Comments? (Optional)
Signature may be required

Please note: A parent/guardian may be asked to sign a printed copy of these terms on the first day.
Payments

Payment of $10 per child for the whole academic year will be collected on the first day.
Should be Empty:

Adventure Club 2025-2026

Child Information

Parent/Guardian Contact

Signature may be required

Payments