Merge Little Registration

Merge Little Registration

  • Student Information

  • Best contact number
  • Please tell us how many in your family will be joining us for our meal together.
  • Parent/Guardian Signature

    I, the undersigned and the parent or guardian of the student named under "Student Name", give my permission to attend events with First Baptist Church Graham, TX. First Baptist Church Ministry Programs hereinafter referred to as “the Activity”. I certify that I am cognizant of the inherent dangers associated with participation in the Activity and with the fact that participating in the Activity may take place outside of, or off of, church premises. I understand and agree that neither “First Baptist Church”, nor its trustees, representatives, instructors or agents may be held liable in any way for any occurrence in connection with my student’s participating in the Activity which may result in injury, harm or other damages to me or my family. I also give my permission for First Baptist Church, Graham, Texas, to use my child's image in photographs and/or video. These images are for the purposes of church business (including, but not limited to, broadcasting, web site, publications, advertising and marketing) and may be reproduced for church use. As a part of the consideration for being allowed to enroll and participate in the Activity, I hereby personally assume all risks in connection with my student’s participation in the Activity. I further release “First Baptist Church”, its trustees, instructors, agents and representatives for any injury or damage which may befall my student while my student is enrolled in or participating in the Activity. I further agree to save and hold harmless “First Baptist Church”, its trustees, instructors, agents and representatives from any claim by me or my family, estate, heirs or assigns arising out of my student’s enrollment and participation in the Activity. I also authorize “First Baptist Church” to render or obtain such emergency medical care or treatment as may be necessary should any injury, harm or accident occur to my student while participating in the Activity. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by an adult leader in charge, to order injections, surgery, or any other medical and/or dental treatment that be deemed necessary to insure the well-being of the child named under "Child's Name". I also authorize the adult leader (s) in charge to transport my child at their discretion in case of an emergency. I further state that I am of lawful age and legally competent to sign this affirmation and release; that I understand the terms herein are contractual and not a mere recital; and that I signed this document of my own free act and volition. I further state and acknowledge that I have fully informed myself of the contents of this affirmation and release by reading it before I have signed it.