Program Form

This form is for those that attend Hillcrest programs but do not attend Hillcrest Church as regular attenders.
 
 
 
 
 
 
 
 
Please select all that apply.
 
Child 1

 
 
 
 
 
Please select all that apply.
Child 2

 
 
 
 
 
Please select all that apply.
Child 3

 
 
 
 
 
Please select all that apply.
 
 
 
 
Waiver/Release Form

Purposes and Extent:
Hillcrest Apostolic Church is collecting and retaining this personal information for the purpose of retaining program attendance information and to inform you of program updates and upcoming opportunities at our church. This information will be maintained permanently as it is a requirement of our insurane company and legal counsel. If you wish Hillcrest Apostlic Church to limit information collected or viewed, please contact us.

Medical Release:
I/We, the parents or guardians named above, authorize the ministry staff of Hillcrest Apostlic Church to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant/s named above. I understand that the ministry staff will make every effort to locate and notify me if my child is injured or becomes ill during any Hillcrest program.

I/We, named above, undertake and agree to idemnify and hold blameless the ministry staff, Hillcrest Apostolic Church, its pastors and Board of Elders from and against any loss, damage or injury suffered by the participant/s as a result of being part of the activities of Hillcrest Apostolic Church, as well as of any medical treatment authorized by the supervising individuals representing the church. I further acknowledge and understand that my children will be responsible for his/her failure to abide by the rules and regulations of any Hillcrest program. This consent and authorization is effective only when participating in or travelling to events of the Hillcrest Apostlic Church.
Please select one option.
Image Release
We need to know whether or not you give consent to the use of any video images, photographs, audio recordings, or any other visual or audio reproduction that may be taken of your child(ren) while attending programs at Hillcrest to be used, distributed or shown, for promotional purposes as Hillcrest Church sees fit.
Please select one option.
 

Description

This form is for those that attend Hillcrest programs but do not attend Hillcrest Church as regular attenders.