Calvary Kids Enrollment Form
The information below will be used for our Calvary Kids check-in/check-out system. Please make sure all the information is filled in and correct. If you have any questions, please contact the church office at 732-1405.
Household Last Name *
Your answer
Father's/Guardian's Name
Your answer
Cell Phone Number
Your answer
Email Address
Your answer
Mother's/Guardian's Name
Your answer
Cell Phone Number
Your answer
Email Address
Your answer
Home Address *
Address, City, State and Zip
Your answer
Emergency Contacts (In the event that parents or guardians can not be reached) *
Please include name, best number to contact and relationship to your child.
Your answer
Please list those who have permission to pick up your child/children after a church service or event. *
Anyone not listed, will NOT be allowed to pick up your child/children. Please include cell phone numbers.
Your answer
Is there anyone NOT allowed to pick up your child/children? *
If yes, please list their names.
Your answer
I give permission for photographs or digital images to be taken of my child/children 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
Your answer
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. *
Parent/Guardian Signature and Date *
Your answer
I, the undersigned, releases Calvary Baptist Church, its officers, employees, and agents from any liability whatsoever for any injury or death to person or loss or damage to property sustained by the undersigned for any member of his family, in attendance, and I agree to defend and indemnify Calvary Baptist Church, its officers, employees, and agents from any liability or loss they might sustain by reason thereof. *
Parent/Guardian Signature and Date
Your answer
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