CrossRoad Kids Discover and AWANA Registration 2019-2020

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Child Info

 
 
 
 
 
 
 
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Second Child

 
 
 
 
 
 
 
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Third Child

 
 
 
 
 
 
 
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Fourth Child

 
 
 
 
 
 
 
 
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Terms and Conditions

1. I understand that my child/children may participated in physical activities including sports and games such as those held during Game Time. As with any physical activity, there is risk of injury. I fully accept this risk and hold harmless CrossRoad Baptist Church and any persons involved in the CrossRoad Kids Discover or AWANA Club ministry from any legal liability caused by injury to my child(ren) during CrossRoad Baptist sponsored activites. 

2. In the event of an emergency that requires medical treatment for the above named child/children, I understand every effort will be made to contact me or my emergency contact. However, if I/we cannot be reached, I give my permission to CrossRoad volunteers to secure the services of a licensed physician to provide the care neccessary for my child's well being. I assume responsibility for all costs connected to any accident or treatment of my child. 


3. I grant permission for photo(s) of my child to be used for educational or promotional purposes by CrossRoad Baptist Church among other general club photos as long as there is no identifying information shown. 

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By entering my name into the above box I understand that I am applying my electronic signature to this form. 
Payment

 
 
 
 
 

Description

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