Back Yard Kids Club 2018 Sign up
July 24-26th from 6:00-8:00 pm
Contact Chris at (256) 777-8049 or

By registering your child, you give permission for your child to attend this Backyard Kids Club and acknowledge that your child may be photographed and/or videotaped by Emmanuel Baptist Church and that these photos/videos may be used in promotional materials and on the Emmanuel website.

I accept the following terms/conditions *
Terms/Conditions: I/We, the parents or guardian of the above named child, hereby give approval for my/our child to participate in any and all Emmanuel Baptist Church activities. I/We assume all cost, risk and hazards incidental to such participation, including transportation, feeding, and recreation. I/We hereby grant permission for any church staff or adult sponsor present to obtain necessary medical, dental, mental health treatment in case of sickness or injury to my child when I/We are not available to grant authorization and agree I/We shall be financially liable for said treatment and agree to indemnify and hold harmless Emmanuel Baptist Church, its staff and adult sponsors for any such treatment. I/We do verify that the above information is correct, and waive, release, absolve, indemnify and agree to hold harmless Emmanuel Baptist Church, its staff, sponsors, supervisors, and chaperones from any claims, demands and actions arising out of damage or injury to my/our child while participating in Emmanuel Baptist Church activities whether the result of negligence or for any other cause.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms