Children's Ministry Info Update

Parent's Name:

Child's Name #1

Birthday

Child's Name #2

Birthday

Child's Name #3

Birthday

Child's Name #4

Birthday

Phone # you want to use for check in

This address will receive a confirmation email

Address

Allergies?

Medical Release

I agree

By clicking "I Agree," the participant, parent, or legal guardian of the participant hereby releases, acquits, and forever discharges Christ Church Birmingham of Birmingham, AL, and its employees from all suits, damages, claims, proceedings, demands, and liability for any injury, harm, or damage that the participant may incur while participating in any activities with Christ Church Birmingham and its ministries. It is further agreed that the participant and/or the participant’s parent or legal guardian shall indemnify and hold harmless Christ Church Birmingham and its employees from all claims of any nature whatsoever, whether legal or equitable, that may arise as a result of the participant’s own negligence while participating in any activity herein. Furthermore, in the event of an accident, if the staff or a representative is unable to contact the parent or guardian, the undersigned parent or legal guardian of the participant hereby grants permission to the staff or representative to administer necessary first aid and/or take the participant to the nearest medical facility for additional treatment.

Media Release

I agree

I grant Christ Church Birmingham, Christ Kids Children's Ministry, and/or Student Ministries permission to publish my child's photo on the website, brochures, and/or any social media accounts for promotional purposes. I understand that if I wish to change this decision, I must do so in writing.

Description

Please fill out this information update to help with our new self-check in for Sunday mornings.

Children's Ministry Info Update

Description

Please Fix the Following