ALL-In registration · Dearborn Christian Fellowship

Parent / guardian

Parent/s name *

Both parents are welcome here — write it however you'd like it to read.

Phone *

Email *

Street address *

City *

State *

ZIP *

Emergency contact (someone other than you) *

Emergency contact phone *

Yes, text me. I agree to receive text messages from Dearborn Christian Fellowship at the phone number above about ALL-In (reminders, schedule changes, cancellations and pick-up notices). Message frequency varies. Message and data rates may apply. Reply STOP to opt out at any time, or HELP for help. Agreeing is optional and is not required to sign up.

Your children

Child 1

First name *

Last name *

Grade this school year *

Girl or boy *

Girl Boy

GEMS is for girls and Cadets for boys, so we need this to put 1st–5th graders in the right room.

Food allergies *

Please answer even if there is nothing — type None. A blank box looks the same to us as a question that got skipped.

Special needs or anything we should know *

Again, type None if there is nothing.

Photo release for this child *

Yes — photos are fine No — please don't use photos of this child

You can answer differently for each child.

Consent & release

PARENT / GUARDIAN CONSENT AND RELEASE — ALL-In at Dearborn Christian Fellowship I am the parent or legal guardian of the child or children listed on this form, and I have the authority to sign this on their behalf. PERMISSION TO PARTICIPATE. I give permission for my child(ren) to take part in ALL-In and its regular activities at Dearborn Christian Fellowship, 21360 Donaldson St, Dearborn, MI 48124. HEALTH AND ALLERGIES. I have listed every food allergy, medical condition, and special need I am aware of. I understand the church is not a medical provider and that volunteers are not medically trained. I will tell the church office promptly if anything changes. EMERGENCY CARE. If my child needs emergency medical attention and I cannot be reached, I authorize Dearborn Christian Fellowship to seek emergency medical care for my child, and I accept responsibility for the cost of that care. RELEASE. I understand that activities carry ordinary risks. To the extent allowed by law, I release Dearborn Christian Fellowship, its staff and volunteers from claims for injury or loss arising from ordinary participation in ALL-In — except for injury or loss caused by gross negligence or intentional misconduct. PHOTO RELEASE. I have chosen separately, for each child, whether photos or video that include that child may be used in church publications, displays, the church website, and church social media. No child's name is published alongside their photo. PICK-UP. I understand my child will be released only to a parent, guardian, or an adult I have authorized. ACCURACY. The information I have given is true and complete to the best of my knowledge. By typing my name and signing below I confirm I have read and agree to all of the above.

I have read and agree to everything above, and I am the parent or legal guardian of the children listed on this form. *

Type your full legal name *

Sign here *

Sign with your finger or mouse.

Children's registration & waiver

Parent / guardian

Your children

Child 1

Consent & release