Wellington Free Will Baptist Church

A going church for a coming Christ!  

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Youth Liability Release Form.pdf Youth Liability Release Form.pdf
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Wellington Free WillBaptistChurch

Liability Release Form

January 09- January 11

Name: ____________________Age:__________Phone#:____________________

Address: __________________City:__________ State: ______________

Zip: ______________________Known Allergies: ___________________________

Parents Cell: _______________Hospital Insurance: Yes___ No___

Insurance Co: ______________Policy#:___________________________________

Doctor’s Name and Phone: _____________________________________________

Emergency Contact in case we can’t reach parent: ___________________________

 

Parent Covenant

 

My son or daughter has my permission to attend events or retreats sponsored by Wellington First Free Will Baptist Church during the time period of January 09- January 11. I release the WFFWBC and all individuals representing the Church of liability for an accident that might occur to my son or daughter while participating in events.

Parent or guardian signature: ________________________________________________

Notary: _________________________________________________________________

Signed before me this day_____, of_____ year of_____. State of Kansascounty of Sumner.

 

Youth Covenant

I am excited about being involved with the youth group and all activities and events. I want to build my relationship with God and get to know myself and others better. I want to have fun. While participating in any Wellington First Free Will Baptist Church youth event or activity I agree to abide by and do the following.

 

1. Treat others with respect. Youth and Adults

2. I will leave all electronic devices INCLUDING CELL PHONES at home.

3. I will not bring any drugs, alcohol, weapons, fireworks or people destroying items to any event.

4. I will make an effort to make friends.

5. I will abide by the dress code I am asked to abide by. NO SHORTS ARE ALLOWED TO ANY YOUTH EVENT, ACTIVITY OR SERVICE.

6. I will have a positive Christ like attitude

7. I will ask questions if I have them.

8. I will abide by the covenant and its statement that allows no male/female contact of an intimate nature.

 

Youth Signiture: __________________________________________________________

 

 

 

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First Free Will Baptist Church

1219 N. Plum Wellington, Ks. 67152

        Phone 620-326-5521