Registration

Registration Forms

To enroll your youth in either of our Youth Ministry's you need to fill out a Ministry Authorization and Consent Form. This form gives our volunteers the information they need to know if there are any allergies we need to be aware of and get some contact information from you.

We are able to provide a few ways of filling out this form. You can get a hard copy from the church and fill it out with a pen if that is your preference. You will also notice below that there is a downloadable form that can be printed and filled out at home then brought back to the church, or use the form below and fill out everything on this page!

GREENWOOD AVENUE BAPTIST CHURCH Children and
Youth Ministry Authorization and Consent Form

Information received is confidential and is being gathered for the purpose of serving your child while in the care of GREENWOOD AVENUE BAPTIST CHURCH. Any medical information collected here serves to authorize GREENWOOD AVENUE BAPTIST CHURCH, and its staff and volunteers, to obtain medical assistance in emergencies.

* Indicates required field

Students Name *

First

Last

Date of Birth *

Grade as of September 2019 is *

Address *

Phone Number *

Parents Work Number *

Parent(s) Name *

Parent(s) Email *

Allergies *

Family Doctor *

Phone Number *

In case of an Emergency, contact *

Number *

Relation to the child *

Does your child have any physical, emotional, mental, behavioural concerns or limitations that staff should be aware of? *

YES NO

If YES, please explain: *

Is your child bringing any medication with him/her? *

YES NO

If YES, please list: *

The safety of your child is our primary concern. Precautions will be taken for their well-being and protection.

I/we, the parents or guardians names below, authorize one of the GREENWOOD AVENUE BAPTIST CHURCH Children/Youth Ministry Personnel to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above.

I/we, named below, undertake and agree to indemnify and hold harmless Ministry Personnel, GREENWOOD AVENUE BAPTIST CHURCH, its Pastors, Staff and Board of Elders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of the GREENWOOD AVENUE BAPTIST CHURCH, as well as of any medical treatment authorized by the supervising individuals representing the church. This consent and authorization if effective only when participating in or travelling to events sponsored by the GREENWOOD AVENUE BAPTIST CHURCH.

Communication (for Youth Grades 5-12 only)
A policy is in effect that communication is to be used solely for the dissemination of information. Please sign below to grant permission for Youth Program Personnel (staff and volunteers) to communicate with your child via telephone, email, social media and text.

Please check all that apply and provide contact information for those selected *

Telephone (home/work/cell) Social Media Networks Email Text Messages

Telephone *

Social Media *

Email *

Text *

Media Release
I the parent/guardian of said child/youth give permission of my child to have their photo/video taken for the purposes of Greenwood Baptist Church promotional material and give full rights of any and all media taken to Greenwood Baptist Church.

Parent/Guardian *

Child/Youth *

Purposes and Extent
GREENWOOD AVENUE BAPTIST CHURCH is collecting and retaining this personal information for the purposes of enrolling your child in our programs, to assign the student to the appropriate classes, to develop and nurture ongoing relationships with you and your child, and to inform you of program updates and upcoming opportunities at our church. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish GREENWOOD AVENUE BAPTIST CHURCH to limit the information collected, or to view your child's information, please contact us.

Parent / Guardian Signature
I have read, understood and agree with above and sign to cover all Children/Youth Ministry activities for the 2019/2020 school year, effective today's date as indicated below.

By typing my name here I understand it is the equivalent of a signature *

Date *

Registration Forms

GREENWOOD AVENUE BAPTIST CHURCH Children and​Youth Ministry Authorization and Consent Form

GREENWOOD AVENUE BAPTIST CHURCH Children and
Youth Ministry Authorization and Consent Form