Joy Ministry Participant Form

JOY Ministry Participant Information

We look forward to serving you and your family. Please fill out this form with as much information as possible so that we can be well-prepared for your visit.
CHILD'S NAME*

First NameLast Name
DOB*

MonthDayYear
SCHOOL CHILD ATTENDS
GRADE

I certify that University Heights Baptist Church has permission to care for the child listed on this form and participate in planned activities of Joy Ministry. I certify that I have disclosed all information about my child's needs, and I will not hold University Heights Baptist Church or an individual volunteering in their program liable for any injury that may occur while my child is in their care. I understand that the caregivers are volunteers who will not administer any medication to my child and who are not equipped to provide emergency medical care. I have provided the caregivers with a valid phone number at which they can reach me if they have questions or concerns while my child is in their care.

**I will remain on the premises of University Heights Baptist Church while my child is in the Joy Ministry's care so that I can be easily accessible in the event of an emergency.
Signature
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JOY Ministry Participant Information