First Kids Wednesdays Registration

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Submit an individual form for each child
Child Information

 
 
 
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Parent/Guardian Information

 
 
 
 
 
 
 
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Medical/Photo Release

As a parent/guardian of the named child(ren), I hereby give permission for him/her to participate in the named event.

I understand that in the event of medical emergencies, every attempt will be made to contact me immediately. I hereby give permission to the physician, dentist, EMS, etc. to offer medical treatment as deemed necessary by the physician/dentist. I also, understand that I am responsible for any cost connected with such treatment. I agree not to hold First Baptist Church Whitesboro, staff or volunteers liable for any injuries or decisions made.

The undersigned also gives permission for First Baptist Whitesboro to use any photographic or video likeness of their child for ministry related media productions, Facebook, website or brochures publicized by First Baptist Church of Whitesboro.
 
 

Description

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