Waiver Form For Ellerslie Kids Online Meetings Completing the information below will add you to our subscribed list for the weekly kids/preteen church zoom link email. All fields required. Participant Information Name Birthdate (YYYY-MM-DD) Grade Gender MaleFemale Phone (if not applicable put NA) Email (if not applicable put NA) Click the + to add another participant. -+ Guardian Information Guardian Name Relationship Home Phone Cell Phone Email Home Address Click the + to add another guardian. -+ Consent If the participant’s phone number(s) and/or email is provided, their leaders may use these to contact them for scheduling and connecting. Other forms of documentable electronic communication may also be used. Unless permission is revoked in writing to the church office, we will assume these are permissible. I hereby give permission for my child(ren), , to take part and receive the advantages of Ellerslie Road Baptist Church's kids and youth ministry online meetings. I recognize that there are risks inherent in digital meetings my child may be engaged in (including but not limited to screen capturing by any participant and hackers hijacking meetings) and I waive, hold harmless, or indemnify Ellerslie Road Baptist Church, its instructors, paid or volunteer staff, successors, heirs and assigns from any action. Guardian's Printed Name Guardian's Signature Date
