GEMS Registration 2018

Complete this form and click submit to sign your daughter in grades 4-8 up for GEMS, starting October 2nd!

Cost: $45 per girl or a family rate of $75 for two or more girls. Cheque payable to Springdale GEMS. Please bring your cheque on the first day.
Child Information

 
 
 
 
 
 
 
 
Parent/Guardian Information

 
 
 
 
 
 
 
 
 
Program Consent

The signing of this form will cover all activities while your child is enrolled in the Westside Community Church GEMS Girls’ Club for the 2018-2019 season. Information will only be used for in-club purposes.

In case of medical emergency, I hereby give permission to the attending Counselor to seek medical attention as is needed for the child named above. It is understood that all efforts will be made to contact the parent/guardian first.

I hereby give consent for my daughter(s), to attend and participate in the various activities, associated activities and functions performed by the Westside Community Church GEMS Club during the 2018/19 ministry year. I hereby release Westside Community Church, the GEMS Girls’ Club Organization, and the counsellors of Westside GEMS from responsibility and liability for injury and/or illness that my child may sustain during the year’s activities.
Please select all that apply.
Privacy Policy

Confidentiality of information is important to Westside Community Church. We request your permission to use photos or videos that may include your child(ren) in print, electronic, website, or video format. By checking YES below, I hereby release the church from all claims and liabilities arising out of the use of these photographs and videos. I also understand that this consent will remain in effect until a written request to revoke consent is received by Westside Community Church.
Please select one option.

Description

Complete this form and click submit to sign your daughter in grades 4-8 up for GEMS, starting October 2nd!

Cost: $45 per girl or a family rate of $75 for two or more girls. Cheque payable to Springdale GEMS. Please bring your cheque on the first day.