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Participant Registration

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Grace Chapel Wilmington

Location

128 West St

Wilmington, MA 01887

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Contact Kids Week Team:

781-862-8351 x131

kidsweekwil@grace.org

First, Tell Us About Yourself:

Parent Information

THE INFORMATION ON THIS FORM MUST BE COMPLETED BY THE CHILD'S PARENTS OR LEGAL GUARDIANS. Thank you!

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PARENT/GUARDIAN INFORMATION

First Name

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Last Name

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Address 1

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Address 2

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City

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State/Province

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ZIP/Postal Code

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Contact Phone 1

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Contact Phone 2

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Emergency Contact Name

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Emergency Contact Relationship

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Emergency Contact Phone

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If you attend Grace Chapel, which campus do you regularly attend?

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

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How did you hear about our Kids Week program?

Multiple selections are allowed.

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We will celebrate the end of the "best week of the summer" with a special Kids Week Family Celebration on Thursday, July 11, 7:00-8:30pm. To help with the planning of this event, please let us know how many family member are planing to come!

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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.

Tell Us About Your Participant

REMINDER: Kids Week is for elementary children who have completed Kindergarten through 5th grade by June 2024.

First Name

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Last Name

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Please select the grade your child is attending during the 2023-2024 school year.

Current Grade

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Gender

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Date Of Birth

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Food/Severe Allergies

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Medical Concerns

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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 Children's Ministry Director, Angela Rogers at arogers@grace.org.

Do you have ONE friend you would like to be placed with? If so, please fill in the Child's First and Last Name. Please note: We are placing elementary participants into two age group crews: grades K-2 and grades 3-5. If you request an older sibling/friend to be with a younger one, the older child will be placed in the younger child's crew and may be the only older child in that crew.

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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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ALERT: After registering, you will receive an automatic email confirmation from this site, 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 kidsweekwil@grace.org if you need assistance. Thank you!

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