Glad Tidings Kid's Ministry
Digital Registration Form

Information received is confidential and is being gathered for the purposes of serving your Child while in the care of Glad Tidings Pentecostal Church, PAONL. Any medical information collected here serves to authorize Glad Tidings Church, and its staff and volunteers, to obtain medical assistance in emergencies.

In the case of custody agreements, please include the proper form authorizing Parental contacts.

Student's First & Last Name

Current Grade

Student's Date of Birth

Student's Cell

What ministries will your child be attending? Please check all that apply.

FunDamentals (PreK)

Fun Factor (Grades K-4)

Fusion (Grades 4-6)

Sunday School (PreK-Grade 6)

Parent/Guardian's Name

Address

Parent/Guardian's Phone

Parent/Guardian's Email

Family Doctor

Student Health Card Number

Doctor's Phone

Allergies

In case of emergency, contact

Does your child have any physical, emotional, mental, behavioural concerns or limitations that staff should be aware of?

Yes

Is your Child bringing any medication with him/her?

Yes

The safety of your Child is our primary concern. Precautions will be taken for their well-being and protection.

I/we, the Parents or guardians named below, authorize the leader or one of the staff at Glad Tidings Pentecostal Church (PAONL) to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant names above.

I/we, named below, undertake and agree to indemnify and hold harmless Program Personnel, Glad Tidings Pentecostal Church (PAONL), and its Leaders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of this church, as well as of any medical treatment authorized by the supervising individuals representing this Church/Pentecostal Assemblies of Newfoundland and Labrador.

This consent and authorization is effective only when participating in or traveling to events sponsored by Glad Tidings Pentecostal Church (PAONL).

Photos

Please sign below to grant permission for the reasonable use of pictures containing your Child in any or all of the following ways:

Purposes and Extent

Glad Tidings Pentecostal Church (PAONL) is collecting and retaining this personal information for the purpose of enrolling your Child in our programs, to assign the student to appropriate classes, to develop and nurture ongoing relationship with your and your Child, and to inform you of program updates and upcoming opportunities at Glad Tidings Pentecostal Church.

This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish Glad Tidings Pentecostal Church (PAONL) to limit the information called, or to view your Child’s information, please contact us.

I have read, understood and agree with the above.

Parent/Guardian Signature

Date

Parent/Guardian Name

At Glad Tidings Pentecostal Church your child is a priority. Our goal is to ensure they are taught, shaped, safe, belong, and most importantly shown the love of God.

Thanks for completing the registeration form. Someone will be in contact with you in the near future.

Glad Tidings Kid's Ministry Digital Registration Form

Glad Tidings Kid's Ministry
Digital Registration Form