Adventure Club FBCN Liability Release and Information Form 2026/2027

FBCN Liability and Release Information Form

Adventure Club 2026/2027
FIRST BAPTIST CHURCH OF NARRAGANSETT

305 Kingstown Road
Narragansett, RI 02882

Kids Adventure Club
Held on select Tuesdays

4-5:30 PM
Outdoor games(dress appropriately)
Snacks
Share a lesson from God's Word
FREE

Adventure Club DATES
2026: 9/15, 9/29, 10/13, 10/27, 11/10, 11/24,12/8,

2027: 1/12, 1/26, 2/9, 2/23, 3/9, 3/23, 4/6, 4/27, 5/11, 5/25
Name of Child #1

First NameLast Name
Grade
Age
Allergies
Name of Child #2

First NameLast Name
Grade
Age
Allergies
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Parent/Guardian

First NameLast Name
Primary contact phone number
Email
example@example.com
Secondary contact name
Secondary phone number
Person to call first in an emergency
For safety and security we will use a password system for releasing children from Adventure Club. For a person to take a child they will have to provide the password established by the adult guardian for that child.
Password for releasing child
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?
Any additional information or comments
Liability Release Form

Event: Adventure Club, held on select Tuesdays in 2026-2027 at First Baptist Church of Narragansett, 305 Kingstown Road, Narragansett, RI from 4pm-5:30pm.

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
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

FBCN Liability and Release Information Form

FIRST BAPTIST CHURCH OF NARRAGANSETT

Liability Release Form