Hey there! Can we get your name?

In the event our staff needs to get in touch with you, what number is best?

List the names and ages for each child!

Are there any allergies or other medical conditions our workers should be aware of?

I give permission for my child to participate in age-appropriate activities at Crosspoint Baptist Church. I understand that children are supervised by trained volunteers but are not under one-on-one supervision.

In the event of an illness or injury, I give permission for church staff or volunteers to provide basic first aid to my child and to seek emergency medical treatment if reasonably necessary. I understand every reasonable effort will be made to contact me immediately.

I understand that for the safety of all children, if my child’s behavior becomes unsafe or disruptive, I may be contacted and asked to pick them up.

Our church occasionally uses photos or video from services and activities for church communication (website, social media, livestreams, or printed materials).

I understand that church services may be livestreamed and recorded, and cameras may be present in public worship areas.

My child may only be released to the parent/guardian listed above or another authorized adult approved by me listed here:

Type your first and last name as your electronic signature!