FBC LINDALE - ADVENTURE CLUB REGISTRATION 2021-22
Adventure Club is focused on bible memorization and teaching the truth of God's Word in a fun and meaningful way. It is designed to create opportunities for parents and children to have deeper spiritual conversations at home while working through the lessons, memory verses, activities, and adventure story.

Adventure Club's mission is to glorify God through evangelizing children, encouraging parents, and edifying servants so that the gospel may be spread among our children, families may be supported, and the church may be strengthened.

"How can a young man keep his way pure? By guarding it according to your word." - Psalm 119:9
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Parent / Guardian Name (s) *
Address: *
City: *
State: *
Zip: *
Home Church: *
Persons (other than parents) authorized to pick up children: *
Primary Cell Number: *
Secondary Cell / Phone Number:
Email address: *
Emergency Contact & Phone Number: *
1- Child's First & Last Name: *
1- Child's Date of Birth: *
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1- Child's Gender *
1- Child's Grade:
1- Child needs:
1- Child's allergies / special needs / medical history we need to know: (leave blank if nothing)
2- Child's First & Last Name:
2- Child's Date of Birth:
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2- Child's Gender
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2- Child's Grade:
2- Child needs:
2- Child's allergies / special needs / medical history we need to know: (leave blank if nothing)
3- Child's First & Last Name:
3- Child's Date of Birth:
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YYYY
3- Child's Gender
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3- Child's Grade:
3- Child needs:
3- Child's allergies / special needs / medical history we need to know: (leave blank if nothing)
4- Child's First & Last Name:
4- Child's Date of Birth:
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DD
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4- Child's Gender
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4- Child's Grade:
4- Child needs:
4- Child's allergies / special needs / medical history we need to know: (leave blank if nothing)
5- Child's First & Last Name:
5- Child's Date of Birth:
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DD
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YYYY
5- Child's Gender
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5- Child's Grade:
5- Child needs:
5- Child's allergies / special needs / medical history we need to know: (leave blank if nothing)
I understand that my child/children may participate in physical activities such as those held during game time; and as with any physical activity, there is a risk of injury. I fully accept this risk and hold harmless from any legal liability, First Baptist Church Lindale and any persons involved in the Adventure Club ministry. 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 First Baptist Church Lindale volunteers to secure the services of a licensed physician to provide the care necessary for my child's well being. I assume responsibility for all costs connected to any accident or treatment of my child. *
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