Grace Child & Youth Information Form

Welcome to Grace Church!  Please start by providing information on yourself. Afterwards there is a section called "Household Members" where you can add your spouse and children.
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Enter information for one adult (spouse) and for as many children as you want. ***Please list all allergies in the "Medical Notes" section.

Print version is available to those who attend Grace. Online version is password protected and is only viewable by those who opt-in through a separate email we will send you. (feel free to leave additional instructions in the Comments Box)

Grace Church uses photos, video, and live stream to aid in telling our story and helping people to more fully engage with our mission. Participation in church events implies permission for Grace Church to use images taken at those events. Our complete Photo and Video Use Policy is from office@gracebfc.org and includes how to have specific images excluded from use.

Please indicate below that you agree to our photo and Video Use Policy.

The following document will need to be physically signed. You can sign it at church in person. This is what the document states:

I, the parent/guardian, request that my child _____________________, be allowed to participate in
the Grace Bible Fellowship Church Children & Youth Ministry Program. This permission form will be kept on file for all Children & Youth Ministry events until this child graduates from high school.

I further give my permission for my child to ride in any vehicle designated by the adult in whose care
my child has been entrusted while participating in children and youth activities. (The children/youth
workers will gain additional verbal or written permission before allowing any child to be driven off of
church property before each activity/event.)

In consideration of permitting my child to attend and/or participate, I do hereby, for myself and my
child, waive and release any and all claims that I might have against the Church and any paid or
volunteering parties on behalf of the Church or its children and youth ministry from all actions, claims,
costs, expenses, or damages of any kind growing out of or related to the activities. I acknowledge that this is a full and complete release for all injuries and damages which the above student may sustain as a result of participating in the activities.

I authorize the treatment of the student by a qualified and licensed medical doctor in the event of a
medical emergency which, in the opinion of the attending physician, may endanger his/her life, cause
disfigurement, physical impairment, or undue discomfort if delayed, while said minor is participating in the activity, including transportation to and from the site. This authority is granted only after a reasonable attempt has been made to contact me, the parent/guardian.

Any comments related to above permissions, or any other comments for our staff?

Please enter your name as a legal signature to grant permission for Grace Church to enter information about you and your family in their database as well as to grant the specific permissions chosen above.

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