Children's Ministry Indemnity Form - Rosebank Union Church

Type of attendance*

Just Visiting (please don't add me to the database)

Exploring RUC (please keep me in the loop)

Committed to RUC (update my details if necessary)

Parent / Guardian Details

While the Rosebank Union Church will take all reasonable steps to care for your child while in our care, the parent or guardian of each child is required to submit this indemnity.

Name of Parent / Guardian*

First Last

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Parent / Guardians Date of birth

Email*

Phone Number*

Area you live in*

This field is hidden when viewing the form

Address*

City

Home Language

Children Details

Please add your children's details.

Number of Children*

How many children do you have who are attending the RUC Kids Ministry programmes?

Please enter a number from 1 to 4.

Child 1

Name*

First Last

Gender

Male

Female

Date of Birth*

Grade

Medical Notes

Please mention any important medical conditions or allergies

Child 2

Name*

First Last

Gender

Male

Female

Date of Birth*

Grade

Medical Notes

Please mention any important medical conditions or allergies

Child 3

Name*

First Last

Gender

Male

Female

Date of Birth*

Grade

Medical Notes

Please mention any important medical conditions or allergies

Child 4

Name*

First Last

Gender

Male

Female

Date of Birth*

Grade

Medical Notes

Please mention any important medical conditions or allergies

Children’s Ministry Indemnity Form

Parent / Guardian Details

Children Details

Child 1

Child 2

Child 3

Child 4

Indemnity Agreement

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