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Registracion del Participante

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Grace Chapel Lexington

Location

59 Worthen Road

Lexington, MA 02421

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Contact Kids Week Team:

339-970-2304

kidsweek@grace.org

Primero, cuéntenos sobre usted:

Información de los Padres

REGISTRATION IS FOR ELEMENTARY CHILDREN WHO HAVE COMPLETED KINDERGARTEN THROUGH 5TH GRADE FOR THE 2024-2025 SCHOOL YEAR.

The information on this form must be completed by the child's parent or legal guardian. Thank you!

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PARENT/GUARDIAN INFORMATION:

Nombre

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Apellido

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Correo Electrónico

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Dirección 1

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Dirección 2

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Ciudad

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Estado/Provincia

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ZIP/Código Postal

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Teléfono de Contacto 1

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Nombre del Contacto de Emergencia

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Emergency Contact Relationship to CHILD

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Teléfono del Contacto de Emergencia

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Nombre de recogida alternativo

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Teléfono de recogida alternativa

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Do you attend church? If you attend Grace Chapel, please select the campus you regularly go to.

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If you attend church somewhere else, which church do you go to?

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We will have a special Kids Week Family Celebration on Thursday, June 26, 6:30-8:00pm. To help with the planning of this event, please let us know how many from your family may be coming. Please put NONE if you are unable to attend.

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Click here for your FREE Friends With God Kids Activity Pack

By checking the box you will be emailed your Free Friends With God Kids Activity Pack.

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.

Cuéntanos sobre tu participante

Nombre

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Apellido

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Please select the grade your child has completed for the 2024-2025 school year.

Grado Saliendo

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Género

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Fecha de nacimiento

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Food/Severe Allergies

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Preocupaciones Médicas

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Will your child need specials needs support during Kids week?

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Will your child be attending ALL 4 days of Kids Week? If so, please choose Option 1. If not, please choose the days your child will be attending.

Multiple selections are allowed.

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Please email kidsweekfriendrequest@grace.org if your child would like to be placed in the same crew as a friend. Please make sure that both children request each other.

We will do our best to place them together in the same crew, but we cannot promise all requests will be possible. Thank you for your understanding.

We regularly take photos of events and activities here at Grace Chapel; occasionally, we share those photos on our website, in our Sunday services, or on social media. If you have any concerns about pictures of you or your child appearing online, please contact our Elementary Director Kayla Rodriguez-Barbosa at Kaylarb@grace.org

For the LIABILITY RELEASE and MEDICAL TREATMENT PERMISSION. The undersigned (Parent or Legal Guardian) does hereby give permission for my child (known as Participant) to attend and participate in any Grace Chapel KIDS WEEK ministry activities.

LIABILITY RELEASE: In consideration of Grace Chapel allowing the Participant to participate in KIDS WEEK, I, the undersigned, do hereby release, forever discharge and agree to hold harmless Grace Chapel, its Pastors, Board Members, directors, employees, volunteers and teachers (collectively herein the “Church”) from any and all liability, claims or demands for accidental 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 Participant while involved in the KIDS WEEK activities. I the parent or legal guardian of this Participant hereby grant my permission for the Participant to participate fully in KIDS WEEK activities. Furthermore, I, on behalf of my minor Participant, hereby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein. The undersigned further hereby agrees to hold harmless and indemnify said Church for any liability sustained by said Church as the result of the negligent, willful or intentional acts of said Participant, including expenses incurred attendant thereto. MEDICAL TREATMENT PERMISSION: In the event my child suffers an illness or injury that requires medical attention, I give Grace Chapel the authority to obtain whatever medical attention is deemed necessary, and release and hold harmless Grace Chapel its Pastors, Board Members, directors, employees, volunteers and teachers of any liability related to obtaining that medical attention. I understand Grace Chapel will make a reasonable attempt to contact me/us as soon as possible following the need for medical treatment for my child. In the event treatment is required from a physician and/or hospital personnel designated by Grace Chapel, I agree to release and hold the physician and/or hospital personnel harmless from any claims, demands, or suits for damages related to their acceptance of this document as consent to provide treatment. I also acknowledge I will ultimately be responsible for the cost of any medical care.

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Comentarios

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PLEASE NOTE: After you click "REGISTER!", you will receive an automatic email confirmation, indicating you have successfully registered. If you do not receive the email, it means your registration did not go through and you will need to register your child(ren) again. Please email kidsweek@grace.org if you need assistance. Thank you!

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