FIRST KIDS registration 2024-25
Please complete this form for any children birth through fifth grade participating in any activities at First Baptist Camden. (Only one form is needed per family.)  
If your child has Food Allergies or Medical conditions which require special care, you will be emailed a Plan of Action form to provide additional information on specifics of your child's needs.
We are excited to have your child join us!

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Child #1 Last Name, First Name: *
Birthday: *
MM
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DD
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YYYY
Grade/Age: *
Medical Information:
(If your child has allergies, Stephanie will email you a Plan of Action form for Allergies & Medical Issues.)
*
Mother Name: *
Cell: *
Father Name: *
Cell:
Home Address: *
Email Address: *
Child #2 Last Name, First Name:
Birthday:
MM
/
DD
/
YYYY
Grade/Age:
Medical Information:
(If your child has allergies, Stephanie will email you a Plan of Action form for Allergies & Medical Issues.)
Child #3 Last Name, First Name:
Birthday:
MM
/
DD
/
YYYY
Grade/Age:
Medical Information:
(If your child has allergies, Stephanie will email you a Plan of Action form for Allergies & Medical Issues.)
Child #4 Last Name, First Name:
Birthday:
MM
/
DD
/
YYYY
Grade/Age:
Medical Information:
(If your child has allergies, Stephanie will email you a Plan of Action form for Allergies & Medical Issues.)
Person to notify in emergency if parents cannot be reached: (please include name and phone number) *
Would you be willing to serve in an area of kids ministry? Opportunities range from weekly to quarterly to special occasion.
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My Child(ren) has/have permission to travel with First Baptist Camden, SC. I understand that neither First Baptist Camden nor the chaperones can take any responsibility other than normal and prudent supervision.

In the event of an emergency where medical treatment is required, I give my permission to the staff or sponsor to obtain the services of a licensed physician. Please attempt to notify me immediately concerning any such emergency.

My name entered below is the my digital signature of this statement.
*
I authorize First Baptist Camden to take, copy, publish, distribute pictures and videos for use in promotional materials, the church website, social media, or other publications. This authorization shall continue indefinitely; unless I revoke the authorization in writing.
 My name below will serve as an electronic signature.
*
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