NCC Annual Children's Ministry Registration Form 2025 • New Creation Church

Child's Information

First Name

Last Name

Gender

Date of Birth

School Grade

Mailing Address

Home City

Home Province

Mailing Postal Code

Health Information

Allergies/Medical Conditions

Does your child have any medication with him/her?

If YES, please list the medication:

Parent/Guardian Contact Information

In case of custody agreements, please include the proper form authorizing parental contacts.

Primary First Name

Primary Last Name

Relationship to Child

Mobile Number

Email Address

Secondary First Name

Secondary Last Name

Relationship to Child

Mobile Number

Email Address

Additional Information

Medical Consent

I/We, the parents or guardians named above, authorize the Ministry Personnel of New Creation Church to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above.

I/We, named above, undertake, and agree to indemnify and hold blameless the Ministry Personnel, New Creation Church, its Church Leadership and Board from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of New Creation Church as well as of any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in or traveling with personnel of New Creation Church.

Consent

I consent

Photo/Video Consent

I grant permission for New Creation Church to take photos/video of my child(ren) during church events and to use these images in church publications, website and social media. I understand that photos and videos will NEVER be accompanied by captions or tags that include names or any other identifying information.

Consent

I consent

I do not consent

By signing below, I have read, understood and agree with the above statements and confirm that all information given is true.

New Creation Church is collecting and retaining this personal information for the purpose of enrolling your Child in our programs, to assign them to the appropriate classes, to develop and nurture ongoing relationships with you and your Child, and to inform you of program updates and upcoming opportunities at our church. This information will be maintained permanently as it is a requirement of our insurance company and legal counsel. If you wish New Creation Church to limit the information collected, or to view your Child’s information, please contact us.

Signature (Parent/Guardian) *

Date