Parent Consent - Short Form 

If you have already previously filled out the Parent Consent - Long Form then please use this form for all future registrations. This condensed form covers your child or children in the programs that you select below for September 2018-September 2019. 

 

Please complete the form below

Parent Name *
Parent Name
Child 1 *
Child 1
Program Selection *
Child 2
Child 2
Program Selection
Child 3
Child 3
Program Selection
Child 4
Child 4
Program Selection
Child 5
Child 5
Program Selection
Child 6
Child 6
Program Selection
I certify that the following information fields have not changed since I submitted my information the previous year: Address Primary Phone Number Secondary Phone Number Emergency Contact name Emergency Contact Phone Number Emergency Contact Secondary Number Child Medical Information Health Card Number Family Doctor Name Family Doctor Phone Number
If NO, in the box below describe the following fields that have changed. Please include the field that has changed, the child that it affects (if applicable) as well the new information.
The safety of your child is our primary concern. Precautions will be taken for their well-being and protection. I agree to any emergency treatment to be given as considered necessary. I undertake and agree to indemnify and hold harmless Calvary Gravenhurst and its leaders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of Calvary Gravenhurst, as well as of any medical treatment authorized by the supervising individuals representing Calvary Gravenhurst. This consent and authorization is effective only when participating in to events sponsored by Calvary Gravenhurst.
Calvary Gravenhurst believes in excellence in our entire Children’s Ministry Department. It is always our endeavour to care for your child(ren) to the best of our ability while they are entrusted to us. At any time, we reserve the right to not admit your child into the classroom should there be signs of any communicable disease or sickness i.e. colds etc. Your child(ren) will only be released to the parent/guardian and/or those whom you have authorized above.
I agree to photographs and short videos of activities including my child to be taken for use within the church community and for possible publication.
Signature *
Signature
I have read, understood and agree with above and sign it to cover all Children’s Ministry Program activities for the program year effective as stated below I give consent to my child taking part in the programs selected above, group social events and group Sunday morning events during the service. I understand that if any information on this form changes, it is my responsibility as a parent/guardian to make the organizers aware in writing so that changes can be made to the Calvary Gravenhurst Database.
Date *
Date