Fall Retreat Registration!
Must like Mac n cheese
Email address *
Parent's Name *
Your answer
Address *
Your answer
Emergency Phone Number *
Your answer
Student's Name *
Your answer
Student's Year in School *
Your answer
Student's Birthday *
Your answer
Additional Child Registration
If you have more than one child please register them below. If you have more than 2 children please fill out the form an additional time.
Student's Name #2
Your answer
Student's Year in School #2
Your answer
Student's Birthday #2
Your answer
Event Waiver / Important Policies
The undersigned parent/legal guardian hereby gives permission to First Baptist Church of Downers Grove, for my student(s) to take part in the following activity ().Should my child require immediate or emergency medical care while engaged in an activity sponsored by the Church, in my absence, I hereby grant the Church authority to release my child for medical treatment to such medical personnel as the Church determines appropriate under the circumstances.In consideration for the privilege of allowing my child to participate in the above-named activity, I agree to release and hold harmless the Church, its officers and agents, from any liability to or responsibility for bodily injury, damage or illness to the above-identified child while participating in any youth athletic or social activity which may be directly or indirectly sponsored by the Church. *
Required
Does your child have any allergies? If so, what are they?
Your answer
May we take photos of your Student *
Required
A copy of your responses will be emailed to the address you provided.
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