OFFICER’S BANQUET – Children’s Passport Night

K4–6th Graders are invited to come and explore China while their parents attend the Officer’s Banquet.
Drop-off is in the Ministries Lobby, with pickup in the Children’s Auditorium.
Join us for food and fun! Register your children below:

Child 1 Name*
Child 1 Current Age/Grade*
Child 2 Name
Child 2 Current Age/Grade
Child 3 Name
Child 3 Current Age/Grade
Child 4 Name
Child 4 Current Age/Grade
Parent/Guardian's Name 1*
First Last
Cell Phone 1*
(205)555-5555
Parent/Guardian's Name 2*
First Last
Cell Phone 2
(205)555-5555
Email*
Other Special Instructions or Food allergies
Parent Permission*
My child (children) has (have) my permission to participate in Passport Night activities at Briarwood Church. In the event that my child becomes ill or is injured while under the supervision of the Children’s Ministry Staff, I approve the appropriate authorities taking the following action: A. Contact the parent or legal guardian and follow his/her instructions; B. In the event of an emergency, when neither parent nor a guardian can be reached immediately, Briarwood Presbyterian Church authorities are authorized to use their best judgment in contacting a physician or other healthcare provider and to authorize the provision of necessary medical, surgical, or other care. In consideration of Briarwood Presbyterian Church making available the Passport Night Program, I hereby release and discharge its agents and employees, from all liability of any kind, or nature. I understand that this is a Release and with that knowledge, I indicate my acceptance below.
- I agree
Photography Release*
As part of our communications activity, Briarwood occasionally uses photography to help illustrate and explain our mission or to publicize events. We would like your permission to photograph/film you/your child for possible inclusion in our publications, website and other publicity material. The image(s) will remain the property of Briarwood Presbyterian Church and will be used for the designated purpose of promoting the church’s mission and vision only.
- I hereby authorize Briarwood Presbyterian Church or its representatives, to photograph, digitize, or otherwise preserve in permanent form my child's likeness and/or image. I agree that any such likeness may be used and reused in whole or in part for multimedia productions, internet distribution, illustration, promotional purposes, and distribution as deemed fit by Briarwood Presbyterian Church.
- I DO NOT authorize Briarwood Presbyterian Church or its representatives, to photograph, digitize or post any photographs of my child.
Comments
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