Medical Registration

This Medical Registration should be completed for all families that participate in Children/Youth Sunday programs, weekday activities and other church sponsored events.
There are 4 main sections to the form:

1. Select number of students you are registering and complete information for each child.

2. Enter Emergency Contact Information (if primary adults cannot be reached)

3. Parent/Guardian information

4. Review COVID-19 waiver, community expectations, sign and date


How many students will you be registering?

1