Discovery Squad Registration

Event Dates: Weds, Sept 25th - Oct 23rd, 2024 : 7 pm - 8:30 pm

Where we discover more about Jesus and Ourselves While Making Friends!

This program is for kids in Gr. 1-6.

Together, we’ll enter Inventor Fuzzywig's Workshop where we'll learn that God Makes All Things New!! Experience the Bible in a hands-on way through interactive Bible stories, games and crafts. Snacks are provided.

When: Weds, Sept 25 - Oct 23 (*5 weeks)
Where: WRBC Main Auditorium
Cost: FREE!!
Time: Immediately after Come to the Table Doors open 6:50 pm

7 pm - 7:30 pm: Free Play
7:30 pm: Snacks (optional pickup for younger children)
7:45 pm - 8:30 pm: Inventor Fuzzywig's Workshop - All Things Made New!
Contact: doug@whyteridgebaptist.ca
*Possible to extend to 9 weeks

*Please complete one registration form per child. Thank you.*

Child Information

Name:

Birthdate

Gender Male Female

Grade in September 2024:

Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6

My child will stay in DS till:

7:30 pm (at snack time) 8:30 pm

Address

Phone

Parent / Guardian Information

Parent / Guardian 1: First Name & Last Name

Parent / Guardian 1: Cell Phone

Parent / Guardian 2: First Name & Last Name

Parent / Guardian 2: Cell Phone

This address will receive a confirmation email

Child Health Information

Health Card # (Reg # - 6 Digits):

Health Card # (PHIN# - 9 Digits):

Family Doctor Name:

Family Doctor Phone #:

Allergies:

• Please list any medications, physical, emotional, mental, behavioural concerns or limitations staff should be aware of (if none, leave blank):

NOTE: No medications will be left with the child unless for life threatening situations such as an Epi-Pen or Puffer/Inhaler. Any medication to be left in your child’s possession must be indicated in the section above and parents will be contacted to provide further info. Parents must be available for emergency situations.

In case of an emergency (If parents/guardians are not available):

Emergency Contact Name

Emergency Contact Phone #

Emergency Contact Relationship to Child

I give my permission for my child to be released at the close of the program to the following adults (please list, separated by commas):

Permission Form and Consent:

1. I hereby authorize Whyte Ridge Baptist Church to take photographs of my child named in the application during camp activities and to display and use the photographs without charge solely for the purpose of promotional material in connection with the Summer VBS Camp Program. Children's names will not be posted on any materials or social media.

I agree I do not give permission

2. I/we, the parents or guardians named, authorize one of the Whyte Ridge Baptist Church Ministry Staff to sign consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above.

I agree

3. I/we, the parents or guardians named, undertake and agree to indemnify and hold blameless the Ministry Staff, Whyte Ridge Baptist Church, its Pastors and Board of Church Management from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of the Whyte Ridge 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 and from events of the Whyte Ridge Baptist Church.

I agree

4. Whyte Ridge Baptist Church is collecting and retaining information for the purpose of enrolling your child in our programs, to assign the student to the appropriate classes, to develop and nurture ongoing relationships with you and your child, and to inform you of program updates and upcoming opportunities at our church. This information will be maintained permanently as it is a requirement of our insurance company and legal counsel. If you wish Whyte Ridge Baptist Church to limit the information collected, or to view your child’s information, please contact us.

I agree

By entering my name, I confirm the above information is accurate and that I agree with the Conditions of Enrolment as stated.

Date: (MM-DD-YYYY)

Discovery Squad Registration - Fall 2024

Description

Discovery Squad Registration - Fall 2024

Description

Please Fix the Following