Student Online Registration Form
Please complete this form to register for one of our ministries. Should you have any questions, please contact Thomas.
Event you wish to register for:
Parent Participant and/or Parent/Guardian
Name:
Mailing
Address:
Email
Address:
City:
Home
Phone:
Cell
Phone:
Postal Code:
Work Phone:
Other:
Student Information
If you are registering for more than two kids please fill out another form. Sorry for the inconvenience.First Name:
Last Name:
Email Address:
Home Address:
Cell Phone:
AB Healthcare #:
Student #1
Student #2
Allergies:
Other Information:
Release and Indemnity
In the event that your child requires special medication, x-rays, or treatment, the contact person you indicate above will be notified immediately. In case of surgical emergency, I hereby give permission to the physician selected by Richmond Hill Baptist Church (the "Church") to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my child/dependents as named on this form.Your child must be covered by Provincial Health Insurance or equivalent medical insurance and your signature below indicates such insurance is up to date.
I authorize my child to participate in the selected Church Program and I hereby agree, by my signature below, to irrevocably release Richmond Hill Baptist Church, its staff, and its volunteers from any and all actions, causes of actions or claim (including claims of negligence) for any damages, expenses, loses or injuries arising from or relating to my child's participation in such activity or from the transportation of my child to and from the activity (Parents will be notified in advance for any off-site activity).
I also understand that the Church may take photographs and recordings during the Church's activities for the purpose of promoting the Church. I give permission to the Church to photograph or record my child for such purposes and I waive all rights, including copyright, in such materials and transfer such rights to the Church.
