KIDS/TEENS FOR CHRIST | OpenDoorBaptist

First name

Last name

Gender

Age

Date of Birth

Multi-line address

Country/Region

Address

City

Zip / Postal code

Grade for 2025-2026 School Year

Allergies/Medical Conditions

Parent/Guardian Name

Phone

Emergency Contact Name

Does your child need a ride to and from church? Please call the appropriate bus captain for your area listed at the bottom of this page.

Do you give Open Door Baptist Church permission to take and post photos/videos of your child on social media?

By checking this box, you authorize adult volunteers of Open Door Baptist Church to consent to any medical or surgical care deemed advisable by any accredited physician or surgeon in an approved emergency clinic or hospital. You further release from any liability Open Door Baptist Church and any of its ministries or leaders in the event of an accident in route, during, and returning from Kids for Christ.

Parent/Guardian Signature

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Is there anything else we need to know about your child?

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BAPTIST CHURCH