Family Night Kids & Youth Registration

Please include any food allergies, medical concerns, behavioural concerns, or social concerns.

Please include relation to the child(ren) and/or youth.

Let us know who will be picking up your child(ren) and/or youth each week. If this changes, please let us know so we can update our records.

By clicking "Agree," I/We, the parents or guardians or caregivers named above, authorize the staff of New Beginnings Community Church to sign a consent for medical treatment and/or to authorize any physician or hospital to provide medical assessment, treatment, or procedures for the participant named above in the event that I/we cannot be reached in a timely manner.

I/We, named above, undertake and agree to indemnify and hold blameless the ministry staff, New Beginnings Community Church, its pastors, volunteers and Directors from and against any loss, damage, or injury suffered by the participant as a result of being part of the activities of New Beginnings Community Church, as well as of any medical treatment authorized by the supervising individuals representing the Church. This consent and authorization is effective only when participating in the events of New Beginnings Community Church.

Photos and/or video may be taken from time to time. These photos and/or videos may be used in print, on social media and/or on the Internet to show events that have taken place.