Calvary Kids Guest Registration Form
Household Last Name *
Your answer
Father's/Guardian's Name
Your answer
Cell Phone Number
Your answer
Email
Your answer
Mother's/Guardian's Name
Your answer
Cell Phone Number
Your answer
Email
Your answer
Address *
Address, City, State and Zip
Your answer
Do you currently have a church home? *
If yes, where?
Your answer
Emergency Contacts: (in the event that parents/guardians can not be reached) *
Please list their name, phone number and relationship to the child.
Your answer
I give permission for photographs or digital images to be taken of my child and understand that they are the property of Calvary Baptist Church and may be used by the church for church purposes and publications including its website. *
Parent/Guardian Signature and Date *
In the event that I can not be reached in an EMERGENCY, I hereby give permission to the physician selected by the Director or Pastor of Children's Ministries to hospitalize, secure proper treatment for, and order injections, anesthesia or surgery for my child/children as named below.
Your answer
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