If registering more than one child, after submitting for one child, select "Return to Form" to submit for another child. 

By proceeding with this form you are agreeing to the Liability and the Emergency Aid Release waiver related to Maple Avenue Baptist Church.

Emergency Consent
I confirm I am the legal guardian of the child (ren) with full authority to make decisions with respect to the care, upbringing, and education. I agree that all the medical information provided on this form is true and accurate. I hereby release my child to the care and medical discretion of the staff and volunteers at MABC.  In the event of an emergency and that no one can be immediately contacted, my child will be taken to the hospital or a physician to be treated if deemed necessary by one of the church staff or volunteers.  I hereby authorize the physician and nursing staff to undertake examination, investigation and necessary treatment of my child.

Liability Release
Your children will be cared for as if they were our own children. Every precaution is taken for their safety and good health, but in the event of an accident or sickness, MABC, its staff and volunteers are hereby released from liability.  I acknowledge and understand there are risks involved with my child’s participation in the MAKK activities, including the risk of physical injury or damage to personal property and I release MABC and all camp staff and volunteers from liability.

I understand that photographs and video recordings may be taken by MABC which may be put on the church website or collected in a slideshow to be viewed at the end of MAKK and church on Sunday.  I consent to MABC using the images for all stated purposes.

Regisration Fee: $45/child, $80/family