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Contact Us

  • Phone: 270.765.6424
  • Email: 
  • Mailing Address: 1800 Pear Orchard Road, Elizabethtown, KY 42701

 

 

Awana Registration

Awana Registration

Address*

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Preferred Contact*

Allergies/fears/medical concerns etc.

Allergies/Fears/Medical concerns

Allergies/Fears/Medical concerns

Allergies/Fears/Medical concerns

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I authorize any church representative to transport my child at his/her discretion in case of an emergency. I give my authority and consent to medical and surgical treatment as my be needed in the judgement of the treating physician and accept financial responsibility for such treatment. I have full knowledge and consent for my child to participate in all activities during 2021 and to be transported by Northside Baptist Church and it's representatives. I release Northside Baptist Church and it's representatives from liability in case of accident or injury.

Student Release*

I agree to the above student release statement.

I hereby grant permission to Northside Baptist Church to use my photograph(s) and/or video son its Web site, Facebook, Instagram, church slides or in other publications without further consideration. I acknowledge the church’s has the right to crop or treat the photograph(s) and/or videos at its discretion. I also acknowledge that the church may choose not to use my photograph(s) at this time, but may do so at its own discretion indefinitely. I also understand that once my image is posted on the church’s website, or other media form, the image can be downloaded by any computer user, anywhere in the world. Therefore, I agree to indemnify and hold harmless the church, its trustees, pastor, associate pastors, deacons, its members and designees from any claims arising out of the use of my photograph(s). The church reserves the right to discontinue use of any photograph(s) without notice.

Photo Release*

I agree to the above Photo Release Statement

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