King's Club

King's Club

Summer After School



After School Registration

Parent/Gaurdian Info

Children's Info

Emergency/Backup Contact

I ask that King’s Club volunteers provide a ride for my child(ren) to be picked up at home OR school and be brought to my home after the program. I understand transportation always involves risks and am willing to take the responsibility for this decision and release King’s Club from all liability.

*I authorize this emergency contact, King’s Club staff, and volunteers, as well as medical personnel, to care for my child(ren) if I cannot be reached:

*I authorize my child(ren) to be photographed or videotaped during activities for the King’s Club media pages.

I will be able to help with kings club this year.

I grant permission for King’s Club leaders and volunteers to transport my child(ren) in their personal vehicles and to seek medical attention should any emergency arise. I understand accidents can happen and and hereby give my permission to take my child(ren) to a doctor or hospital and hereby authorize medical treatment, including but not in limitation to emergency surgery and assume the responsibility of all medical bills, if any.
I also release, forever discharge, and agree to hold harmless King’s Club volunteers and staff, First Baptist Church, Westgate Memorial Baptist Church, and other churches from any and all liability, claims, or demands for personal injury, sickness or death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned and the child-participant while the child is participating in their programs. By signing this form, I also grant permission for King’s Club leaders and volunteers to transport my child(ren) in their personal vehicles and to seek medical attention should any emergency arise.


King's Club

Location

3739 N. Major Drive, Beaumont, Texas




King's Club


Location

3739 N. Major Drive, Beaumont, Texas


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