Child Care Registration
Child Care for Ladies Ministry Events
Email address *
Name: *
Pleas include: (First name, Last name)
Your answer
Name of Children: *
Pleas include all names and ages of children who will require child care.
Your answer
Allergies or Medical Conditions: *
Pleas put “N/A” if this question does not apply to you.
Your answer
Phone Number: *
Example: 555-555-5555
Your answer
Liability Waiver:
By submitting this document the undersigned parent/legal guardian hereby gives permission to THE GROVE: FIRST BAPTIST CHURCH, for the person registered to take part in the following event. It also gives permission to THE GROVE: FIRST BAPTIST CHURCH to use pictures or videos for promotional purposes which may include images of said child.

Should my child require immediate or emergency medical care while engaged in an activity sponsored by the Church, in my absence, I hereby grant the Church authority to release my child for medical treatment to such medical personnel as the Church determines appropriate under the circumstances.

In consideration for the privilege of allowing my child to participate in the above-named event, I agree to release and hold harmless the Church, its officers and agents, from any liability to or responsibility for bodily injury, damage or illness to the above- identified person while participating in any athletic or social activity which may be directly or indirectly sponsored by the Church.

Further, I agree to indemnify and hold harmless the Church, its officers and agents with respect to any claim asserted by or on behalf of my child as a result of bodily injury, illness, or damage.

PLEASE READ CAREFULLY. THIS PERMISSION SLIP IS A LEGAL DOCUMENT WHICH INCLUDES A RELEASE OF LIABILITY AND INDEMNIFICATION.

Parent’s Initials: *
By initialing below you are stating that you have read the Liability Waiver and agree to its contents.
Your answer
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