Emerald Crossing at First Baptist Church of Gower

Family Information

Parent/Guardian First Name

Parent/Guardian Last Name

Address

Street

Street 2

City

State/Province

Postal Code

Primary Phone

Alternate Phone

Emergency Contact

Relationship to Student

Phone Number

May we have permission to photograph your child(ren) and use their photo in church publications? (Church Facebook page, VBS Celebration video, etc.)

Yes

Agreement

By submitting this you are agreeing to the following: I am voluntarily participating in the aforementioned event at First Baptist Church of Gower and am participating at my own risk. I am aware of the risks associated with this event. I agree that First Baptist Church of Gower will not be held liable for any injury or loss related to this event. First Baptist Church of Gower is released from any and all claims, suits, or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf including any attorney’s fees and any related costs.

Type your initials here.

Will your child(ren) be joining us for dinner? (Served each night at 5:30.)

Yes

I am not sure yet

Register for VBS

at First Baptist Church of Gower

Family Information

Address

Student Information