Register all your children (ages 0-5th grade) now for the 2019-20 year!


By submitting the above form, you agree to the following:

First Aid and Emergency Medical Treatment:
I recognize that there may be occasions where the participant named above or I, if I am a participant, may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury. 

I hereby give permission for agents of Bedford Presbyterian Church to seek and secure any needed medical attention or treatment for the participant named above, or me if I am a participant, including hospitalization, if in the agent's opinion such need arises.

In doing so, I agree to pay all fees and costs arising from this action to obtain medical treatment. I give permission for attending physician(s) and other medical personnel to administer any needed medical treatment, including surgery and, again, I agree to pay for the medical treatment.

I also agree to notify agents of Bedford Presbyterian Church if there are any changes in the above information that I have submitted.

Publicity Release:
On occasion, Bedford Presbyterian Church takes photographs or makes audio or video recordings of children/youth and/or adults involved in church activities. Such photographs or recordings may be used by staff and participants to remember the activities and participants; they may also be used in the church's publications or advertising materials to let others know about its ministry.

Any public use of such recordings must be approved by the church. The church may also invite local news organizations to photograph or record our events for news reporting or special interest features.
Please Note: Children MUST be picked up by an adult authorized on the form above.

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