2025 Parents Day Out Liability Release and INFO

FBCN Liability Release and Information Form 2025

Parents Day Out Event 12/6/2025
First Baptist Church of Narragansett

305 Kingstown Road

Narragansett, RI 02822

9AM - 1PM

Bring your child's lunch to make sure its right
Name of Child #1*

First NameLast Name
Age*
Grade*
Allergies
Name of Child #2

First NameLast Name
Age
Grade
Allergies
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Parent/Guardian*

First NameLast Name
Primary contact phone number *
Secondary contact name *
Secondary phone number*
Person to call first in an emergency*
Do you give permission for your child(ren) to appear on social media, First Baptist Church of Narragansett or other affiliated websites and/or the newspaper *without* their names being mentioned?

yesno
Any additional information or comments
Liability Release Form

Event: Parents Day Out, December 6, 2025 at First Baptist Church of Narragansett, 305 Kingstown Road, Narragansett, RI from 9AM to 1PM.

By signing below, I assume any risk of harm or injury which might occur to the participant due to his/her participation in the event or activity, I release the organization or business named above from all liability, costs and damages which might arise from participation in the above named event or activity.

If the participant is a minor, I agree that the minor has my consent to participate in the event. I further provide my consent for the organization or business named above to seek emergency treatment for the minor if necessary. I agree to accept financial responsibility for the costs related to this emergency treatment.
Name of parent/guardian *
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

FBCN Liability Release and Information Form 2025

First Baptist Church of Narragansett

Liability Release Form