Team Kid 2021-2022
Team Kid will be kicking off on September 8th at 5:30pm. Please complete this form for each student attending.
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Family Name
Student's Name *
Student's Grade *
Required
Student's Age *
Student's Birthday
MM
/
DD
/
YYYY
Student's Gender
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Allergies
Family Address
Family's Church Home
Father's Name
Father's Cell
Father's Email
Mother's Name
Mother's Cell
Mother's Email
Emergency Contact and Phone Number *
Individuals authorized to pick up Student *
Who should NOT pick up your Student?
Any special concerns or info about your child that would be helpful for Leaders to know:
Permission/Medical Release Information I give the child listed on this form permission to attend all FBC Coldspring children events during 2021-2022. I certify that my child is in good health and is able to participate in normal activities. In the event of any accident or illness, the FBC’s adult leaders will take any necessary action at that time. In case of medical emergency, I give permission for FBC’s adult leaders to secure proper medical treatment for my child named above. I understand that every effort will be made to contact me in the event of such an emergency. I hereby release FBC and its adult leaders from any liability for medical costs or problems that may arise during this event. I also allow the church to use my student's photograph on church website, newsletter or on screen in church. Signature ___________________________ *
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