FBC Kids Ministry Registration Form

First Baptist Church is collecting and retaining this personal information in order to enroll your child in our program and assign them to the appropriate age group, develop and nurture relationships with you and your child, and inform you of upcoming opportunities and activities at the church.
If you are registering a child for nursery please leave the grade field blank.

Your name *

Email address *

Phone number *

Address

Household members

FBC Kids Sunday Morning Snacks *

Snacks Are OK

Please DO NOT GIVE Snacks

Please DO NOT GIVE Snacks To The Following:

Please tell us which child(ren) can not have snacks:

Medical Consent *

I/We, the parents or guardians named above, authorize the ministry staff of First Baptist Church to sign
a consent for medical treatment and to authorize any physician or hospital to provide medical
assessment, treatment, or procedures for the participant named above. I/We, the parents or guardians
named above, undertake and agree to indemnify and hold blameless the ministry staff, First Baptist
Church, its pastors and Board of Elders from and against any loss, damage, or injury suffered by the
participant as a result of being part of the activities of First Baptist Church, as well as of any medical
treatment authorized by the supervising individuals representing the church. This consent and
authorization is effective only when participating in or traveling to events of First Baptist Church.

Yes

I am not the parent or legal guardian, but I have permission to bring this child to FBC Kids

Media and Communication Consent *

I/We give permission to FBC to use mine or my child’s photo, recorded audio or video likeness or
image, or artwork on material posted within FBC or Pleasantview Bible Camp, or on our websites, social
media accounts, or any promotional material. I/We understand that submitting this form gives consent
to FBC to utilize the information provided above in ways relevant to the purpose of my submission; to
enter me/us in the FBC electronic database and add me/us to an applicable FBC email list(s). (Should
you desire to be removed from the list(s) in the future just click on the ‘Unsubscribe’ link provided at
the end of FBC emails.)

Yes

How Did You Hear About FBC?

I am interested in volunteering with FBC Kids

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.