Service Schedule

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Directions

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Name of Child *
First Name
Middle
Last Name
Age & Grade*
Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Parent Cell Phone*
Email*
Allergies/Special Needs
By submitting this registration form I, the parent or legal guardian of the participant listed on this form, certify that he/she has my full approval to participate in this Westlake Church of God Event. The individual identified on this form understands that all participants are required to abide by Children’s Ministry Rules and be directly responsible to the Children’s Ministry Leader. The Children’s Ministry Leader assumes responsibility for discipline at the Event and, if necessary, may, because of misconduct or disobedience, require a participant to leave. In such instance, I will assume full responsibility for picking up the participant in a timely manner. I agree to hold harmless Westlake Church of God and all persons acting on their behalf if an injury occurs at the Event. I understand that I will be contacted if the participant becomes ill or needs to have medical attention. In the event that I am unreachable, I authorize the Children’s Ministry Leaders to take the participant to a doctor or hospital for medical treatment and I assume financial responsibility for all expenses incurred for such treatment.