WCCAC Youth Ministry Consent & Registration Form

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The Westside Calgary Chinese Alliance Church ("Church") formally requests consent from you (the parent(s)/guardian(s)) to allow your child to be engaged with Church activities. These spiritual activities are meant to strengthen our spiritual walk with God and to build up the community of faith.

By signing this form you agree to the following:
1. Permission for my child to be contacted by the Church (including Youth Ministry Personnel, staff, and volunteers) for Youth Ministry and Bible School purposes. Communication may be via telephone, email, social media, text, online Church-affiliated websites, or other means.
2. Permission for my child to participate in WCCAC Youth Ministry and Bible School activities.

I/we, named below, undertake and agree to indemnify and hold harmless Program, Personnel, WCCAC, and its leaders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of WCCAC, as well as of any medical treatment authorized by the supervising individuals representing the WCCAC. This consent and authorization is effective only when participating in events sponsored by WCCAC.

I have read, understood and agree with the above and sign it to cover all Youth Ministry activities starting on the date as signed below to, and including, September 30, 2023.

Email *

First Name of Child *

Last Name of Child *

Date of Birth of Child *

YYYY

Gender *

Female

Male

Grade (Starting in September 2022) *

School Attended by Child *

Alberta Health Card Number *

Allergies (If none, indicate N/A). *

Does your child have any physical, emotional, behavioral concerns or limitations that our ministry personnel should be aware of? If yes, please explain. If none, indicate N/A. *

Home Address *

First Name of Parent/Guardian *

Last Name of Parent/Guardian *

Relationship of Parent/Guardian to Child *

WCCAC Congregation Attended by Parent/Guardian *

English

Cantonese

Mandarin

Does not attend WCCAC

Other:

Parent/Guardian Contact Number *

Media Consent: Indicate whether or not you consent to having photos and/or videos taken of your child for WCCAC ministry purposes. *

Yes, I consent to having photos and/or videos taken of my child for ministry purposes.

No, I do not consent to having photos and/or videos taken of my child for ministry purposes.

Signature (Full name of Parent/Guardian) *

Date Signed *

YYYY

Send me a copy of my responses.

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