Volunteer Middle School Adventures Registration 2019
July 15th - 19th, 2019 at the Londonderry Town Hall (139 Middle Town Road)

Sign up your Students for Kids Club (no additional paper work required).

It's lots of fun and completely free! We'll be meeting every morning from 9:30am - 12:00pm.

​Middle School Adventures is for students 4th grade completed through 8th grade completed.

Please sign up each child separately.
First Name *
Last Name *
Birthday *
MM
/
DD
/
YYYY
Gender *
Allergies, Medical Information, Special Needs
T-shirt Size *
Home Address *
Primary Phone Number *
Work Phone Number
Email Address *
Emergency Contact Name (1) *
Emergency Contact Phone Number (1) *
Emergency Contact Name (2) *
Emergency Contact Phone Number (2) *
Do we have permission photograph you? *
Do we have permission to use your photograph in church publications? *
Permission
I understand that there are inherent risks involved in any event, and hereby release First Baptist Church, its staff and volunteer workers from any and all liability due to an injury, loss or damage to person or property that may occur during the course of this trip.

I understand that I maybe asked to transport students in my personal, a rental, or other vehicles.

By clicking "I agree" below, you are agreeing the statements above.
Permission Agreement *
Required
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