Glamp-In 2019 Registration

If the student has a cell phone please input that number here. Do not include a home phone number.
This is the grade that your child will be in starting in August 2018

Parent Info

Emergency Info

Waiver and Release Form

Parents, Please read the release form below and type your name to acknowledge and agree with the statement. My permission is granted for First Baptist Church staff member or adult leader in charge of the Glamp-In weekend on April 19-20, 2019, to obtain necessary medical attention in case of sickness or injury for the above named student. I the undersigned, do hereby release and forever discharge all sponsors and FBC Enterprise, AL from any and all claims, demands, actions or cause of action, past-present-or future existing out of any damage or injury while participating in this event. My child has permission to participate in the event listed above. I grant permission for pictures or videos taken of the above student while attending this event to be displayed or used in future services or promotion. I will assume full financial responsibility for damages caused by my child as well as any costs involved in returning early due to disciplinary or medical reasons. Student’s signature indicates their agreeing to all travel and trip guidelines. Failure to follow these guidelines may result in a loss of travel privileges.
Please type the parents name to signify that your student agrees with the above statement.
Please type your students name to signify that your student agrees with the above statement.