Student Registration Form

Please complete form to update our records.
Date

In the event that Minor(s) are injured during the Empowerment Word Church Kids (E-Kids) activities, and I am unable to provide consent to his/her medical treatment, I authorize a EWC Kids representative to consent on my behalf to the performance of any and all medical treatment judged necessary by EWC Kids or authorized medical personnel. I agree, individually and on the behalf of Minor(s), to release and hold EWC Kids harmless from and against any liability, which may be assessed against EWC Kids as a result of said medical treatment. I agree to pay or arrange for payment for all cost associated with said medical treatment.

I grant EWC Student Ministry, its representatives, and employees the right and permission to publish, distribute and/or use photographs/video audio of any member of my family in the EWC Kids classrooms and/or ministry environment. I authorize such productions for use in its own media productions, through commercial media and/or online media, in print and/or electronically – with or without names – for any lawful purpose or advertisement.

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