Theme image

Participant Registration

Go Back

Registro en Español

Fellowship Christian Reformed Church

Location

407 Perry Ave

Big Rapids, MI 49307

Map It

Contact Carrie Krause:

231-796-3517

ckrause1975@yahoo.com

First, Tell Us About Yourself:

Parent Information

First Name

This field is required.

Last Name

This field is required.

Address 1

This field is required.

Address 2

This field is required.

City

This field is required.

State/Province

This field is required.

ZIP/Postal Code

This field is required.

Contact Phone 1

This field is required.

Contact Phone 2

This field is required.

Emergency Contact Name

This field is required.

Emergency Contact Relationship

This field is required.

Emergency Contact Phone

This field is required.

Alternate Pickup Name

This field is required.

Alternate Pickup Phone

This field is required.

Alternate Pickup 2 Name

This field is required.

Alternate Pickup 2 Phone

This field is required.

Home Church Affiliation

This field is required.

Comments

This field is required.

(Youth Group Only) Student Self-Transportation: Does your high schooler have permission to transport themselves to/from Family Night programs and special events (if applicable)?

This field is required.

(Youth Group Only) Student Self Sign-out: Does your high schooler have permission to sign him- or herself out without the presence of a parent or authorized adult?

This field is required.

Off-Site Notice: I grant my high schooler permission to leave the premises for prearranged activities (Youth Group only; ex.: scavenger hunt around town). I acknowledge that GEMS or Cadets clubs might meet off-site for a prearranged activity where parent transportation to/from the alternate site is required (ex.: corn maze or CranHill). Parents will be informed of all off-site activities prior to club.

This field is required.

Injury Waiver: I understand some activities provided may present potential risk of injury. I do not hold Fellowship Church of Big Rapids or any program leaders responsible for any incidents resulting in injury.

This field is required.

Permission to Use Photo: May we have permission to take a photo of your child and use in church publications and church presentations?

This field is required.

Parent/Guardian Signature: Please type your name here as an electronic signature verifying you have accurately filled out the registration form for your participant and understand and agree to the information within it.

This field is required.

Click here for your FREE Notes from Jesus Bundle

By checking the box you will be emailed your Free Notes From Jesus Bundle.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Group VBS and other faith-building resources. Click to learn more about Lifetree.

Tell Us About Your Participant

Please note the following policies regarding grade/age:

To participate in Kingdom Kids, children must be 4 by September 1 of the programming year.

To participate in GEMS and Cadets, children must be in first grade and 6 by September 1 of the programming year.

To participate in Youth Group, students must be in ninth grade and 14 by September 1 of the programming year.

If your child is in a grade that does not match the age criteria (d/t skipping a grade or homeschooling, for example), please indicate in the comments section and/or select the grade that matches their age (for age-appropriate placement purposes). Thank you for understanding!

First Name

This field is required.

Last Name

This field is required.

Grade Entering

This field is required.

Gender

This field is required.

Date Of Birth

This field is required.

Allergies

This field is required.

Medical Concerns

This field is required.

Comments

This field is required.

— or —