Bus Registration for Clubs - Grace Baptist Church

Because we are running Clubs directly after school this year, we are offering bus rides from both Coquihalla and Silver Creek to ensure that all kids will be able to attend. In order to use buses for clubs we need your consent as well as some information for our Pickup App. Fill out the registration form below to give your consent and we will contact you with details and instructions concerning the App we will be using to organize pickup.

Clubs Bus Registration

Parent/Guardian Information

First

Last

Phone

Family Name/ Last Name

Child #1: First Name

Birthdate (MM/DD/YEAR)

School

Child #2: First Name

Birthdate (MM/DD/YEAR)

School

Child #3: First Name

Birthdate (MM/DD/YEAR)

School

Child #4: First Name

Birthdate (MM/DD/YEAR)

School

Child #5: First Name

Birthdate (MM/DD/YEAR)

School

I realize that all activities have inherent risks. By checking these boxes, I agree to allow my child to participate in GBC regular programs (specifically the busing program) and I accept all risks for any injury which may occur during the participation of my child. I also allow my information to be shared with Pickup Patrol to facilitate bus rides.

Checkboxes

Acceptance of Risk

Consent for Sharing of Information

If you are human, leave this field blank.