Event Registration

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DNOW on Friday, February 15, 2019 @ 5:30 PM


Please fill out the additional registration information below. Thank you!

*T-Shirt Size:
*Emergency Contact Name:
*Emergency Contact Phone:
*Emergency Contact Relationship:
*Parent First Name:
*Parent Last Name:
*Parent E-mail Address:
*Parent Phone:
By submitting this form you agree to the terms and conditions listed below. TERMS/CONDITIONS I/We, the parents or guardian of the above named child, hereby give approval for my/our child to participate in any and all Collierville First Baptist Church activities. I/We assume all cost, risk and hazards incidental to such participation, including transportation, feeding, and recreation. I/We hereby grant permission for any church staff or adult sponsor present to obtain necessary medical, dental, or mental health treatment in case of sickness or injury to my child when I/we are not available to grant authorization and agree I/we shall be financially liable for said treatment and agree to indemnify and hold harmless Collierville First Baptist Church, its staff and adult sponsors for any such treatment. I/We do verify that the above information is correct, and waive, release, absolve, indemnify and agree to hold harmless Collierville First Baptist Church, its staff, sponsors, supervisors, service providers and chaperones from any claims, demands and actions arising out of damage or injury to my/our child while participating in Collierville First Baptist Church activities whether the result of negligence or for any other cause. You will need to print and turn in to the Student Ministry office a medical form if you have not filled one out in the last six months. Otherwise we the Student Office has it on file. If you do not have access to a printer you may pick these forms up in the Student Ministry office.
*Hold Harmless Agreement:
I give permission for my child to remain under the watchful care of chaperones of Collierville First Baptist Church for all church sponsored events in which they participate. 

I agree that my child will respect all chaperones, staff members, and other children/student helpers. I agree that my child will act in a way that will be pleasing to me, the church, and in a way that will glorify Christ. I understand that my child will ride and room with whomever he/she is assigned to by CFBC staff for the entire event. My student will leave all weapons, tobacco, smoking paraphernalia (including vapes), and any other substance not allowed for persons under the age of 18 (even if your student is 18). If they are caught with any of these items, they will be asked to turn it in to our student staff and return home at the discretion of our team. We do not tolerate our events being used for any type of illegal behavior, and we will act as such.

I agree that I will pay for my child's way home at any time and from any location during the event in the case he/she misbehaves in any way deemed inappropriate by chaperones or church staff. In this case, I understand that my child will not receive any refund for the event.

*Behavior Agreement:
I, the undersigned, give Collierville First Baptist Church permission to photograph and/or video my child(ren). I further give Collierville First Baptist Church permission to use photograph(s) or video(s) of my child(ren) for publicity or other purposes including, but not limited to, newsletters, church publications, media publications, and/or on the internet-website. I also release from any liability Collierville First Baptist Church, its employees and/or volunteers in relation to the taking and/or displaying of any photographs/videos. I understand that I will be given no compensation for the use of any photographs and/or videos. 
*Photo Release: