Pursuit Crew Registration
Please fill out this form and click submit.
Student's Full Name
*
Guardian's Full Name
*
Guardian Phone Number
*
Student Phone Number
DOB
*
Age/Grade
*
Email
*
This address will receive a confirmation email
Allergies
*
Please select all that apply.
Yes
No
Please list any allergies, medical conditions, dietary restrictions, medications, or any other information our Pursuit Crew team should know to help care for your child safely.
*
Photo/Video Permission “Do you give Pursuit Church permission to photograph or video your child during church activities for use on our website, social media, or church promotional materials?”
*
Please select all that apply.
Yes
No
Pickup/Release Permission
*
Emergency Medical Authorization: “In the event of an emergency and I cannot be reached, I authorize Pursuit Church/Pursuit Crew leaders to obtain necessary emergency medical treatment for my child.”
*
Please select all that apply.
I agree
I understand that Pursuit Crew ends at 8:00 PM and agree to make arrangements for my child to be picked up promptly at that time.
*
Please select all that apply.
Yes, I understand.
Submit
Description
Please fill out this form and click submit.
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