Children Registration form

Please use this form to register your family so you will be able to use your phone number in our check-in system.

Your name *

Email address *

Phone number *

Address *

IMPORTANT:

MUST CLICK "+add child" below to add EACH child to your household. You can also click "+add adult" to add other parents or adults who can checkout your kids.

Household members

Birthdate

Gender

Marital status

Emergency Contacts For Children

Legal Guardianship *

By checking this box you certify you are the parent or legal guardian of the children you are registering?

Sport or Play Injury Release: *

By Checking this Box, I (the Parent or Guardian) know that any sport or recreational activity carries an inherent risk of injury to my child (or children). By choosing to participate in this activity, I therefore release Union Baptist Church, Kids Crew Ministry, and it’s volunteers from any liability regarding injury.

Media Release: *

By Checking Agree, I (the Parent or Guardian) authorize the use of images of my child/children (photos or videos) by Union Baptist Church for any lawful purpose, including such purposes as publicity, illustration, advertising, social media (including but not limited to Facebook), etc. in print or electronic form.

Agree

Disagree (Please notify Children's Director)

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