Children and Youth Information - 2020-2021
CrossPointe Fellowship is delighted to have your family joining us for services, Wednesday Night BLAST, and other activities.
Please fill this form out as completely as possible!
  • This form will expire July 31, 2021 and we'll ask for new forms (and new photos - "they grow so fast!") for the 2021-2022 school year.

    We've allowed for up to five children on this form. Send us a second form if your family is larger. Thank you!

    You'll enter personal information on each child following this section.
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  • If you have a PO Box, please put it in "Address Line 2"

    If anyone OTHER than adults named above may pick up your children, please include that information here:

    First Child
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  • Second Child
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  • Third Child
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  • Fourth Child
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  • Fifth Child
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  • AS A PARENT/GUARDIAN OF THE MINORS listed above, for myself, my spouse and other family members,

    1. I understand that my child/children will participate in physical activities and, as with any physical activity, there is a risk of injury.  I fully accept and hold harmless from any legal liability, CrossPointe Fellowship and any persons involved in the CrossPointe Children’s or Student Ministries. I release any and all rights and claims for damages my child/children may have against CrossPointe Fellowship, its volunteers and staff for any and all injuries or death suffered while on CPF property or an authorized outing. This includes all medical and legal bills.
  • 2. I give my permission for CrossPointe staff and volunteers to administer needed first aid to my child/children .  In the event of an emergency that requires medical treatment, I understand that the church will try to contact me and, if I cannot be reached, I authorize CrossPointe staff and volunteers to use emergency medical services (911) as necessary for my child's well being. I also agree to assume all costs connected to any accident or treatment of my child/children.

  • 3. I understand that my child/children may be photographed and videoed during events sponsored by CPF and that these photographs and videos may be used on the church's website, social media websites, in church publications, and in local newspapers.  I grant permission for these photographs and videos to be used in these venues. If I do not wish to grant permission, I will notify the church in writing within 3 days of registering my child/children for a CrossPointe program.

  • 4. In the event that transportation is required during a program for an outing, I understand that parents, volunteers, and church staff may be driving their own vehicles. I understand that all reasonable safety measures will be taken when transporting my child/children and I will not hold the drivers or church liable for any motor vehicle incidents, and do hereby release the drivers, CrossPointe Fellowship and its volunteers and staff from any and all actions, claims and demands for, upon or by reason of any damage, loss or injury, which may be sustained by my child/children.

  • Thank You for allowing us the privilege of having your children in our activities. Please call the office (941.778.0719) if there are special circumstances you need to discuss.

    By submitting this form, you acknowledge that all information is correct and that you agree to the above.