Parent/Guardian Consent Please enable JavaScript in your browser to complete this form.Student's Name *FirstLastGrade *- Please select -6th7th8th9th10th11th12thParent or Guardian Name *FirstLastParent or Guardian Cell Number *This information will remain private and will only be used if absolutely necessary. We will not SPAM you. 😄Parent or Guardian Email *Medical InformationDoes your child have any medical conditions? *- Please select -YesNoPlease provide details of all medical conditionsPlease provide details of medication that your child should carry during church tripsDoes your child have any known allergies? *- Please select -YesNoPlease provide details of all known allergiesDoes your child carry an Epi-Pen or similar device?YesNoIf yes, please specifyParent/Guardian Consent *Agreement to consentBy checking the box below, I (the Parent or Guardian of the listed student) agree that Central Baptist Church may host my child in their facilities, transport them in our church vehicles when necessary, and agree to release Central Baptist Church of any liability concerning my child upon accidents or physical harm that may happen in the regular church activities. I also give Central Baptist Church consent to post pictures on social media that may have my child in the picture. Finally, I agree that the information listed above is accurate and honest to the best of my ability. Submit
