Gospel Centre Pentecostal Church - Child Registration Form

Parent/Guardian First Name

Parent/Guardian Last Name

Child's First Name

Child's Last Name

Male/Female

Apartment Number

Street Number

City

Province

Postal Code

Country

Phone Number(s)

Email

Child's Birthdate

Child's Age / Child's Grade

Allergies - Does your child have any allergies that we should be aware of? Please list them below:

Do you have any special instructions or physical, emotional, mental, behavioral concerns/limitations for this child that we should be aware of?

I/We, the parents/guardians named above, authorize the ministry staff of Gospel Centre to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the child named above. I/We, named above undertake and agree to indemnify and hold blameless the ministry staff, Gospel Centre, its pastors and board of elders from and against any loss, damage or injury suffered by my child as a result of being part of the activities of Gospel Centre, as well as any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in or traveling to events of Gospel Centre. By checking one of the boxes below and typing my name below, I am electronically signing this consent form.
Yes
No

First Name

Last Name

I/We, the parents/guardians of the child listed above give the ministry staff of Gospel Centre permission to photograph my child for the individual use of the church. I understand that these photographs will not be posted on social media nor published in any way, but will remain in the sole care of the ministry staff of Gospel Centre Church. By checking one of the boxes below and typing my name below, I am electronically signing this consent form.
Yes
No

First Name

Last Name

Child Registration Form for Children's Ministries