Catch The Wave – Registration Form

Catch The Wave is our Sunday program for kids. There is no charge to participate, but we do need to gather important information. Thanks!

About your child

Name

*

Birthday (yyyy-mm-dd)

*

Grade

*

Gender

*

Please select all that apply.

Female Male

Additional Information

Does your child have any allergies or medical issues? Do they carry an Epipen? (If there are no medical issues, please write "none"

Medical Information

*

Are they baptized?

*

Please select one option.

Yes No I don't know

If yes, where? (Name of church & city)

Have they received their First Communion?

*

Please select one option.

Yes No I don't know

If yes, where? (Name of church & city)

Emergency Contact(s)

Contact 1 – Name

*

Contact 1 – Relationship to child

*

Contact 1 – Email

*

This address will receive a confirmation email

Contact 1 – Phone

*

Contact 1 – Address

*

Do you give us permission to email you?

*

Please select one option.

Yes No

Contact 2 – Name

Contact 2 – Relationship to child

Contact 2 – Phone

Contact 2 – Email

Is Contact 2's address the same?

Please select one option.

Yes No

Contact 2 – Address

Photo Release

I give permission for my child(ren) to be photographed or videotaped. I understand that the image may be displayed in church publications, church buildings, church websites, or social media accounts associated with the church. I understand that as a precaution, my child's name will not be published or linked with the photographs.

Do you give consent?

*

Please select one option.

Yes No

Description

Catch The Wave is our Sunday program for kids. There is no charge to participate, but we do need to gather important information. Thanks!

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