Student Ministry

Registration & Content Form

Information received is confidential and is being gathered for the purposes of serving your Child while in the care of Parkdale Baptist Church. Any medical information collected here serves to authorize Parkdale Baptist Church, and its Staff and Volunteers, to obtain medical assistance in emergencies. This form should be completed annually by the Parent / Guardian. 

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Student Name
Gender
STREET # / STREET / APT. # / CITY / POSTAL CODE
Shirt Size:
Does your Child have any physical, emotional, mental, behavioural concerns or limitations that staff should be aware of?
Is your Child bringing any medication with him/her?
In case of an emergency, contact:
Parent/Guardian Name
All information is confidential - providing this information grants us your permissions to contact you via email, phone, text, or mail.
Any other info we should know?

Know all the details! Subscribe free to: 

Send a text to (778) 402-6346

For SPLAT (Grades 6-8), text code: @jhpbc

For IMPACT (Grades 9-12), text code: @hspbc 

then follow instructions 

*Remind app optional 

How we keep attendance!

SPLAT requires parental accounts to be made. 
Students sign in each week using their parent’s phone #. 

IMPACT uses our church account.
We add new students to it & we sign them in each week.