Ministry Registration Form

Personal Information

Insurance Information

Medical Emergencies

In the event of an emergency, I give permission for (Child's Name Below) or appointed member of Anointed Motions of Praise/Riceville Mt. Olive Baptist Church, to act in my child’s best medical interest. I understand that should a medical condition arise, and I can not be reached, this person along with medical staff is aloud to make emergency medical decisions on my behalf, until I can do so myself.
The dance ministries will go on outings occasionally. I give my consent for my child, to attend such event’s for the 2013 calendar year.
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