Teen's Rally Registration Form
Please fill in the correct information--one teen per form. After this form is completed, the teen will only have to get a signed permission slip from a parent/facilitator, and then he will be admitted to the activities. Thank you for taking the time to check out the Teen's Holiday Bible Club, we look forward to seeing you there!
Email address *
Your Teenager's FULL Name *
Your answer
Your Teenager's Age *
Your answer
Parent/Guardian's Full Name *
Your answer
Home Address *
Your answer
Your Phone Number *
Your answer
To Whom It May Concern:
I give permission for my child to attend this event and understand that my child is responsible for knowing the rules and regulations made by the church and sponsors of this activity. It is expressly understood by the parents or guardian of the child for whom this registration is made that my child in a condition that warrants his or her participation in this event, and that the adult leaders of this activity are hereby granted permission to take the named youth to a medical doctor for examination and treatment of any accident or illness that may arise during the term of said activity. In consideration of their acceptance or said activity, said church, its agents and employees are hereby released and relieved from all liability of accident and injury to said youth arising from and all activities of this event.
I have read and accept the terms *
I agree to allow my contact information to be saved for future reference
Our database of information is strictly private, we will never sell your information.
A copy of your responses will be emailed to the address you provided.
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