West Edmonton Baptist Church Kidz Ministry (WEB Kidz) Registration 2021-2022

Please ensure that you have a drawn signature (not typed). If you have any questions, please contact the WEB Church Office - office@westedbaptist.com, or 780-489-7714. Thank you.
Parent/Guardian 1 Information (Required)

 
 
 
 
 
 
Please select one option.
 
Parent/Guardian 2 Information

 
 
 
 
 
Emergency Contact - must be different from parents/guardians.

 
 
 
 
Additional Information and Custody Details

Custody Details
If parents do not reside together, who has legal custody of the children? (shared, sole custody, etc). Please detail in the field below.
 
Additional Information
Is your child(ren)'s address different than yours? Is there any additional information you'd like us to know?  Please include this information below.
 
 
 
 
Child #1 Information

 
Please select all that apply.
Please select one option.
 
Please select one option.
Health and Safety Information:  Please list any health concerns, medications, allergies, or other information you would like us to know about your child below.
 
 
 
 
Please select one option.
Child #2 Information

 
Please select all that apply.
Please select one option.
 
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Please select one option.
Child #3 Information

 
Please select all that apply.
Please select one option.
 
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Please select one option.
Child #4 Information

 
Please select all that apply.
Please select one option.
 
Please select one option.
 
 
 
 
Please select one option.
Child #5 Information

 
Please select all that apply.
Please select one option.
 
Please select one option.
 
 
 
 
Please select one option.
Consent to Participate in WEB Children's Ministries (2021-2022)

Understanding that the purpose of WEB Children’s Ministries (Nursery and Kidz Church) is to provide opportunities for kids to engage together in active recreational pursuits, social activities, and Christian education, I acknowledge the  following conditions of enrollment:


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Release of Liability, Waiver of Claims and Assumption of Risks Agreement

PLEASE READ CAREFULLY


I hereby acknowledge that I have voluntarily registered my child in a Children’s Ministry of West Edmonton Baptist Church.  I am aware of the risks that may arise out of participation in the activities being offered including but not limited to gym games, crafts, and sporting activities. I agree on my behalf and on the behalf of my family that West Edmonton Baptist Church shall not be liable for any personal injury, death, or property loss, and I indemnify West Edmonton Baptist Church from any such claims for negligence, or breach of statutory duty of care on the part of West Edmonton Baptist Church or its directors, officers, employees, or volunteers, and I waive the right to make any claim with respect thereto.

 
Please use one of the following links to upload your signature.  Your signature MUST be drawn, not typed. Typed signatures will not be accepted. 

Doc Sketch
Signature Maker

Alternatively, you may print this form, sign it, and return it to West Edmonton Baptist Church.

Description

Please ensure that you have a drawn signature (not typed). If you have any questions, please contact the WEB Church Office - office@westedbaptist.com, or 780-489-7714. Thank you.