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RVCC Registration Form (Children & Youth)
*
Indicates required field
Child's Name
*
First
Last
Parent/Guardian Name(s)
*
Parent/Guardian Phone Number
*
Alternate Parent/Guardian Phone Number
*
If I cannot be reached in the case of an emergency, please call (name and phone)
*
Address, City, Zip
*
Child's Birthday
*
School
*
JRE
PES
RCMS
PHS
Payson Center for Success
Payson Christian School
Homeschool
Other
Grade
*
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Special Needs or Allergies (including food and medication)
*
Other Adults Who May Pick Up Your Child
*
Write "none" if no other adults besides the parent/guardian(s) listed may pick up your child.
Emergency/Medical and Permission Consent Form
I, the undersigned, as legal guardian of a minor, give my permission for the above named to participate in all children’s activities associated with Rim View Community Church (RVCC). I release, discharge and agree to hold harmless (RVCC), it’s staff and volunteers from any and all liability, claim or demands for personal injury, illness or death, as well as medical and property damage expenses of any nature whatsoever which may be incurred by us and/or my (our) child while my (our) child is participating in church related activities (including transportation to and from events), hereby assuming all risk and expense as a result of participation. I shall be liable for and agree to pay all costs and expenses incurred in connection with any medical or dental treatment rendered pursuant to this authorization. Any pictures of my child taken during participation in church sponsored activities may be used in electronic or paper promotional material, including social media, associated only with the church. In the case of medical emergency, I understand that every effort will be made to contact the parent(s) or guardian(s) of my child. In the event that I cannot be reached, I give permission to the physician attending my child to hospitalize, secure proper and necessary treatment for my son/daughter as named herein. I give permission for the release of medical records to an attending physician in case of injury or illness. I have fully read this form and sign voluntarily with knowledge of its terms and conditions.
I acknowledge the terms above and agree to them.
*
I agree.
Parent/Guardian Electronic Signature
*
I am this child's...
*
Parent
Legal Guardian
Submit
Home
About
Location and Service Times
I'm New
Meet our Staff
Our Beliefs
Q & A
Give
Ministries
Children and Youth
>
Children and Youth Permission Form
Nursery
Preschool Play Dates
Kids at RVCC
Youth
Adults at RVCC
>
Young Adults & Families
Men's Ministry
Women's Ministry
Heritage Senior Adults
GriefShare
Food Pantry
Recovery Unlimited
Prayer
Transportation Ministry
Operation Christmas Child
Ministries We Support
Watch
RVCC Sundays Live
Daily Prayer Time
Weekly Worship Guides
Connect
Contact the Pastor
Monthly Email Subscription
Directory
Events
Calendar