Wednesday Worship Club Nights

WEDNESDAY WORSHIP
Starting September 18th!

6:30-8:30PM
(*6:15PM pizza is served!)

Fun and friends in a safe and intentionally meaningful environment matter!

Pioneer Girls and Boys Brigade have a great program for grades 1-6, where kids have fun together and grow in confidence with encouragement from awesome leaders. We'd love to have your child join the club during Wednesday Worship! *Please fill out this registration form and help us plan ahead!

How about pizza for dinner?
We know it can be tricky to get to church on a weeknight and will have pizza available for the whole family, in the Fellowship Hall, to make dinner plans easy! Let us know how many slices you'd like ($1.50 for 2 slices)!

Parent/Guardian Full Name *

Email *

Please list each child, their DOB and grade. *

Emergency Contact (Name and Cell Number) *

Parent Location *

Wednesday Worship

Off Premises

If you are leaving the premises, please return promptly at 8:15 for child pickup.

Allergies/Medical Concerns

Photo/Video Release Agreement *

I DO grant permission for the use of my child’s photo/video."

I DO NOT grant permission for the use of my (or my child’s) photo/video."

I understand that All Souls Community may take photos and/or videos of program participants during program activities and events for use in educational or promotional materials in print, multimedia, or web form. Photos/videos will only be used for purposes related to these All Souls Community programs and their related partners. Please check the correct box as to whether you do wish or do not wish to grant All Souls Community permission to use your child’s photos/videos taken during a program.

Medical Release *

I DO agree to the hold harmless terms below."

I DO NOT agree and understand my child will not be permitted to participate in said programs."

I hereby consent to let my child to participate in children’s activities at All Souls Community. It is understood that every precaution will be taken for the safety and well-being of my child but in the event of accident or sickness, All Souls Community, its staff and its volunteers are hereby released from any liability. In case of emergency, I understand every effort will be made to contact me. If I cannot be reached, I hereby give a representative of All Souls Community permission to act on my behalf in seeking emergency treatment for my child in the even that such treatment is deemed necessary. I give permission to those administering emergency treatment to do so, using measures deemed necessary. I absolve All Souls Community from liability in acting on my behalf in this regard.

**Family Dinner Option: Please indicate how many pizza slices you'd like (@1.50 for 2 slices).