Wednesday Night Activities

Select Wednesday Night Activity

Child's Information:


Gender (required):
MaleFemale
Date of Birth (required):


Grade (required):

Allergies?

YesNo
If yes:

Parent Information:









Emergency Contact



Pick Up Instructions

My child will remain upstairs until I pick him/her up.I am in adult choir. Please take my child to the PAD after they finish their Wednesday night activity.My child and I have a pre-arranged meeting place. He/she is free to walk downstairs no earlier than 7:40 PM. I understand that if he/she needs to leave earlier, I will come upstairs to meet him/her.

Field Trip Permission

I authorize the First Baptist Church of Rockwall volunteers to transport my child to off campus field trips for their specific Wednesday night activity.

YesNo

Photography Release

I authorize the First Baptist Church of Rockwall volunteers to photograph my child for media purposes.

YesNo

Medical Consent and Release

In the event of an emergency, I authorize the First Baptist Church of Rockwall staff to make emergency medical decisions for my child and I understand that my insurance coverage will be the primary coverage.

YesNo