Harvest Bible Chapel Student Registration 2018-2019

Please fill out this form (one per child) and click submit.
SECTION 1 - STUDENT INFORMATION - FILL OUT FOR EACH CHILD

Please fill out section 1 of this form for each child you wish to register
 
Please select one option.
 
 
 
Please select one option.
 
Please read through the waiver below carefully and check the boxes below with your child if you both agree.

Parental Consent/Release:
I give permission for the above named child to participate in Harvest Bible Chapel's Youth Ministry Programs during the 2018-2019 ministry year (June 2018-August 2019). I release Harvest Bible Chapel Windsor, its agents, staff and volunteers from any liability.

Student Consent/Release:
I, the above named child, am registering for participation in Harvest Bible Chapel Windsor's Youth Ministry Programs during the 2018-2019 ministry year (June 2018-August 2019). I release Harvest Bible Chapel Windsor, its agents, staff and volunteers from any liability
Please select all that apply.
Photo Release & Consent:
I hereby grant permission to Harvest Bible Chapel Windsor to use images of the above named child on its web site or other church social media platforms or publications without further consideration. I understand that no names will be used online or in publications unless specific written permission is given to an appropriate staff member. I understand that once any image is posted to Harvest’s web site the image can be downloaded by any computer user around the world. I hereby attest that I am the legal parent or guardian of the child listed above. This consent is effective until such time as I revoke it in writing.
Please select one option.
SECTION 2 - FAMILY INFORMATION - FILL OUT ONCE PER HOUSEHOLD

All parts of section 2 needs to be filled out once per household (not for each child unless the information is different).
 
 
 
 
 
 
 
 

Description

Please fill out this form (one per child) and click submit.