This form is required annually and must be completed for each child/student. There is a section to select all programs that the child/student will be a part of. This will eliminate the need to fill out a form for each program. We are excited to partner with you through the ministries here at Chisholm Baptist Church.

Please select ALL programs that you are registering your child/youth for during the 2021-22 school year.

This should be someone in addition to a parent or guardian that can be contacted in the event of an emergency when the parent or guardian cannot be reached.

I grant to Chisholm Baptist Church the right to take photographs of me and my family in connection with the above-identified event(s). I authorize Chisholm Baptist Church, its assigns and transferees to copyright, use, and publish the same in print and/or electronically.

I agree that Chisholm Baptist Church may use such photographs of me with or without my name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and Web content.

Essentially, "Is it ok if your kid has their photo taken and we put it on our Facebook page, or because they are so cute, we use it for a flyer or on our website to promote our programs?" We will never write names without specific parental permission.

As a parent/legal guardian, I give permission for the subject of this release to be involved in the overall activities. I understand all reasonable safety precautions will be taken at all times by Chisholm Baptist Church and its agents during the events and activities.  I authorize any emergency medical treatment, transportation, and medical treatment by an accredited hospital and/or physician deemed necessary for the subject of the release in case of an emergency. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold Chisholm Baptist Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form. Please sign by writing your initials as an electronic signature.