Religious School Try It Out Registration & Permission Form 2024 - Form

* First Name

* Last Name

* Child's First Name

* Child's Last Name

* Child's Age

* Email Address

* Mobile (XXX-XXX-XXXX)

* My child will be attending the Religious School Try It Out program Sept 8th- Sept 17th,2024.

My child will be attending the Religious School Try It Out program Sept 8th- Sept 17th,2024.

* Child Permission

Child PermissionBy checking this box I give permission for my child listed above to attend the Religious School Try It Out program Sept 8th- Sept 17th,2024.

* Hold Harmless

Hold HarmlessBy registering for this event, I agree to assume the risks to the attendant and attendant's property should any arise during the event and do hereby release and agree to hold BTBJ harmless from any responsibility for injury, loss or damage relating to this event.

* Photo Release

Photo ReleaseRecording events, celebrations, class progress and individual students on file is an important part of school life. By Checking this box you give your permission for your child(ren), you and/or your family to be included in our BTBJ photo collection, website newsletter, Facebook page, and school publications. We also recognize that parents may take pictures or videos of school events, the use of which is beyond our control (such as parents personally posting photos or videos on the web). We ask that all families be sensitive to the desire of other parents and take down or blur out a child, if asking to do so. BTBJ may publish photographs/ images and/or quotations of my child, and members of my family.

* Additional Medical information: Please list allergies, medications and/or medical conditions we should be aware of. Please write none if this is not applicable to your child.

* Permission for emergency medical care and medication (please check all that apply):

AcetaminiphenIbruprofenBenedrylEmergency care including a trip to the hospital

Emergency Contact:

* Name of Contact

* Relation

* Mobile (XXX_XXX_XXXX)

* Does this Emergency contact have permission to pick up your child?

YesNo

Referrals: Please provide the name of the person who referred you.