Adventure Club Online Sign Up 2025

We are thrilled that you are interested in Adventure Club! We just need a little bit of information to ensure your little explorer is placed in the right group. Please fill out the registration and safety form below. THANK YOU! Eagleville bible church and OUR Adventure Club staff take the safety and wellbeing of your child very seriously and are grateful to have each and every child in our care! Thank you for the opportunity to enjoy time with your child while we all have fun studying and learning the gospel! Please feel free to contact the church office (440-563-3407) if you have any questions!

Adventure Club meets on Wednesday's 6:30PM - 8:00PM at Rock Creek Elementary.

Your name *

Email address *

Address

Phone number *

Child First Name *

Child Last Name *

Child Gender *

Child Age *

Child Grade *

Allergies/ Medical Conditions

Permission *

In the event of accident or injury, I will not hold Eagleville Bible Church, or it’s teachers/leaders/helpers responsible. I do herewith authorize treatment for the above minor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his or her life, cause disfigurement, physical impairment, or undue discomfort if delayed in my absence. This authority is granted after a reasonable effort has been made to reach me per the listed contact information.

Yes

Digital Release *

I, hereby grant permission to Eagleville Bible Church ("EBC") for the digital release of my child's image, voice, and likeness in photographs, videos, and audio recordings taken during their participation in the Adventure Club program. This digital release includes, but is not limited to, EBC's website, social media platforms, promotional materials, and other digital communications.

Yes

Emergency Contact *

Please add one Emergency Contact - Full Name and Phone Number

OTHERS ALLOWED TO PICK UP CHILD IN EVENT ABOVE CONTACTS ARE UNABLE: *

You are welcome to name other adults who are allowed to pick up your child

I am interested in volunteering for Adventure Club

SIGNATURE: PRINT NAME BELOW to sign release: *