Kid Sing and Movie Event Liability Waiver

Kid Sing and Movie Event Registration

March 20, 2026
Child's Name*

First NameLast Name
Child's Birthdate*

MonthDayYear
Allergies
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select one*

My child will ride with CEF to Stonebrook for the Kid Sing Event, and I will pick them up at Stoneybrook.My child will ride with CEF to Stoneybrook for the Kid Sing Event and back to First Baptist of Philomath.My child will ride with CEF to Stoneybrook for the Kid Sing Event, and back to First Baptist of Philomath to watch the Light of the World movie and have dinner.I will drop my child of at Stoneybrook for the Kid Sing Event, and pick them up at Stoneybrook.I will drop my child off at Stoneybrook for the Kid Sing Event and pick them up at First Baptist of Philomath.My child is only attending the Light of the World movie.My child is attending the Light of the World movie and dinner.
Our family will attend the Light of the World movie (# of people attending)
If you have multiple children registered, only fill this out on one registration form.
Our family will attend the Light of the World movie and dinner (# of people attending)
If you have multiple children registered, only fill this out on one registration form.
How did you hear about this event?*

FlierKids' NewsletterCEF NewsletterSocial MediaFriend
Who will be picking up your child?*
In accordance with Child Evangelism Fellowship’s Child Protection Policy, parental permission must be obtained for the following:
I, the parent (or guardian) of Student's Name*, do hereby give permission for my child to attend and participate in the Kid Sing Event at Stoneybrook Assisted Living in association with Child Evangelism Fellowship^® (CEF^®) on March 20, 2026.
First Initial* Last Initial*
Waiver of Transportation. I, the guardian of the above-named minor, give my permission for him/her to travel and attend the Child Evangelism Fellowship® (CEF®) activity on March 20, 2026.
First Initial* Last Initial*
"By signing this form, I, the parent (or guardian), do hereby give permission for my child to attend and participate in the Kid Sing and Movie Event. I release Child Evangelism Fellowship and the facilities used from liability for any injuries or sickness incurred as a result of my child’s participation in the Kids Sing and Movie Event. I hereby assign and grant to Child Evangelism Fellowship full use of all photographs of the above named child, without reservation or limitation, including use of photographs for promotional purposes. Names will be changed for privacy.”
Today's Date*

MonthDayYear
Date
Printed name of parent or guardian*
Signature*

Clear
Should be Empty:

Kid Sing and Movie Event Registration