4HG - Student Registration Form - September 2026 - August 2027

Information received is confidential and is being gathered for the purposes of serving your child while in the care of Whyte Ridge Baptist Church. Any medical information collected here serves to authorize Whyte Ridge Baptist Church, and its staff and volunteers, to obtain medical assistance in emergencies. In the case of custody agreements, please include the proper form authorizing parental contacts. The following information is for the school year September 2026 to August 2027:

Please enter your parent/guardian email address here to receive the confirmation email.

This address will receive a confirmation email

STUDENT INFORMATION

Name:

Please enter your child's Date of Birth in the age field below:

Age

Please answer the following indicating your child's Grade starting in September 2026.

Grade

AUTHORIZATION AND MEDICAL CONSENT

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. Any medication to be left in your child’s possession must be indicated in the space above. Parents must be available for emergency situations.

IN CASE OF EMERGENCY: (If parents/guardians are not available)

Emergency Contact Name

Emergency Contact Phone #

Emergency Contact Relationship with Student

Communication:

A policy is in effect that communication is to be used solely for the purpose of providing relevant church event and activity information. I grant permission for Whyte Ridge Baptist Church program personnel (staff and volunteers) to communicate with my child via telephone, email, social media and text as indicated:

Telephone (home/work/cell) Social Media Networks Email Text Messages Please contact me regarding this

Email Preferences (for Ministry Communication)

May we communicate with you by email?

Yes No Please contact me regarding this

Photos:

Photographs and/or video recordings may be taken at WRBC events in which your child may be a participant. These will only be used within the context of Whyte Ridge Baptist Church, including but not limited to: printed material, promotional material, newsletters and the WRBC website, and/or official WRBC Social Media accounts.

I grant permission for the use of photos and or/video recordings containing my child at WRBC events and activities

Yes, I give permission for use of photos and videos of my child No, I do not give permission for use of photos and videos of my child Please contact me regarding this

By entering my First and Last name, I am indicating this information is correct and am indicating my acceptance and delivery of this information..

Date: (DD-MM-YYYY)

4HG - Student Registration Form - September 2026 - August 2027 - Whyte Ridge Baptist Church

Description

4HG - Student Registration Form - September 2026 - August 2027 - Whyte Ridge Baptist Church

Description

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