Calvary Kids Visitor Parent Consent Form

Child Information

Child's Name

Child Medical Information

Does the child(ren) you are registering have any allergies, dietary concerns, medical conditions or disabilities that we need to be aware of?

Yes No

If you marked yes above, please explain:

Parent/ Guardian Contact

Name

Phone

Parent/Guardian Email

This address will receive a confirmation email

Consent & Parental Agreement

Please read the following conditions carefully, and contact us at brennan@calvarygravenhurst.com if you have any questions.

Medical Care Release - The safety of your child is our primary concern. Precautions will be taken for their well-being and protection. I agree to any emergency treatment to be given as considered necessary. I undertake and agree to indemnify and hold harmless Calvary Gravenhurst and its leaders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of Calvary Gravenhurst, as well as of any medical treatment authorized by the supervising individuals representing Calvary Gravenhurst.

Yes

Ministry Care Release - Calvary Gravenhurst believes in excellence in our entire Children’s Ministry Department. It is always our endeavour to care for your child(ren) to the best of our ability while they are entrusted to us. At any time, we reserve the right to not admit your child into the classroom should there be signs of any communicable disease or sickness i.e. colds etc. Your child(ren) will only be released to the parent/guardian and/or those whom you have authorized above.

Yes

Media Release - I agree to photographs and short videos of activities including my youth to be taken for use within the church community and for possible public publication.

Yes No

Digital Signature

I have read, understood and agree with all of the above and sign this consent form to cover all Calvary Kids Program activities for September 2024 - September 2025. I understand that if any information on this form changes, it is my responsibility as a parent/guardian to make the organizers aware in writing so that changes can be made to Calvary Gravenhurst's database.

I understand that if I wish to withdraw my consent at anytime, I must do so in writing to Calvary Baptist Church (Calvary Gravenhurst) and give adequate time for processing.

Digital Signature of Parent/Guardian

Date of Signature of Parent/Guardian

Description

Please fill out this form for all the children in your family and click submit.

Calvary Kids Visitor Parent Consent Form

Description

Please Fix the Following