Gospel Life Church - Children's Ministry Form

Child's Name:

Name of Parents/Guardians:

Cell Phone # 1 (Please note which Parent/Guardian this number belongs to):

Cell Phone #2 (Please note which Parent/Guardian this number belongs to):

Email:

This address will receive a confirmation email

Address:

Child's Birthdate:

Important Notes:

ALLERGIES:

Please note any restrictions:

Sign Out Permission:

Persons (other than above mentioned parents/guardians) authorized to sign child out:

FOR CHILDREN AGED 7TH TO 12TH GRADE: I give my child permission to sign themselves in and out of all Children's Ministry Events. I recognize that this means that my child is responsible to re-connect with me on their own directly following any Gospel Life Church Children's Ministry Event they may be involved in.

Nursery Aged Children (Newborn-5 years old)

Please note that nursery workers are not permitted to change diapers. If your child's diaper needs to be changed, you will be notified via text.

My child is... in diapers currently potty training totally potty trained

RESTROOM ASSISTANCE
If my child is currently potty training / totally trained, I give permission for my child to be taken to the restroom by a Children's Worker of the same gender and given the help needed OR would prefer to be contacted via cell phone to take the child to the restroom myself.

Restroom Assistance

Parent Assist Worker Assist

Permissions:

I understand that my child may participate in physical activities. As with any physical activity there is risk of injury. I fully accept this risk and hold harmless from any legal liability. Gospel Life Church and any persons involved in the Children's Ministry.

I also give permission for photo(s) of my child to appear on the Gospel Life Church's website or literature as long as there is no identifying information shown.

In the event of an emergency that requires medical treatment for the above named child, I understand every effort will be made to contact me or my emergency contact. However, if I/we cannot be reached, I give my permission to the Children's Ministry Volunteers to secure the services of a licensed physician to provide the care necessary for my child's well being. I assume responsibility for all costs connected to any accident or treatment of my child.

I understand that I am placing my child(ren) under the care of others at my own risk. Gospel Life Church (GLC) will take necessary precautions to help ensure the safety and health of my child(ren), but cannot make any such guarantee. I am also responsible for determining the health and wellness of my child(ren) prior to allowing participation in GLC’s children’s ministries and understand that a child that shows any symptoms of sickness may be denied entry. I hereby release, waive, indemnify, hold harmless and discharge Gospel Life Church, church officers and children’s ministry workers for any and all claims relating to COVID-19 or other sickness as a result of participation in GLC’s children’s ministry.Unnamed Label

Gospel Life Church - Children's Ministry Form

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