Celebration Kids Registration Form

Please have your registration form completed by Thursday at 4pm prior to your first visit! If you weren't able to complete it by then, please plan to register Sunday morning at our First Time Families Desk. See you Sunday!

Parent/Guardian #1

Parent/Guardian #2

By providing my email below, I consent to receiving emails from Celebration Church about their programs, events and courses that may be of interest to me. I understand that I can withdraw at any time at
celebrationedmonton.com.

 

 

Collection & Use of Information

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

Wavier and Consent

I/we, the parents or guardians named above, authorize a Celebration Christian Church (hereafter referred to as Celebration Church) program

personnel to sign a consent for medical treatment and to authorize a physician or hospital to provide medical assessment, treatment or

procedures for the participant(s) named on reverse, should the program personnel be unable to reach me.

I/we, named above, undertake and agree to indemnify and hold harmless Celebration Church, and its program personnel and leaders from

and against any loss, damage or injury suffered by the participant(s) as a result of being part of the activities of Celebration Church, as well as

of any medical treatment authorized by the supervising individuals representing Celebration Church. This consent and authorization is

effective only when participating in events sponsored by Celebration Church.

Purpose and Extent

Celebration Church is collecting and retaining this personal information for the purpose of enrolling your child(ren) in our programs, to assign

the child(ren) to the appropriate classes, to develop and nurture ongoing relationships with you and your child(ren), and to inform you of

program updates and upcoming opportunities at our organization. This information will be maintained indefinitely as it is a requirement of

our insurance company and legal counsel. If you wish to view or update your child’s information, please contact us.

By typing your name below I/we consent to child(ren), named on reverse, participating in programs offered by Celebration Church.

Children

(mm/dd/yyyy)

(If Applicable)

(If yes, please provide original documentation which we will copy and file securely.)

Note

This form only needs to be filled prior to your first time in Celebration Kids.

(mm/dd/yyyy)

(If Applicable)

(If yes, please provide original documentation which we will copy and file securely.)

Note

This form only needs to be filled prior to your first time in Celebration Kids.

(mm/dd/yyyy)

(If Applicable)

(If yes, please provide original documentation which we will copy and file securely.)

Note

This form only needs to be filled prior to your first time in Celebration Kids.