Information received is confidential and is being gathered for the purposes of serving your child while in the care of Cornerstone Baptist Church, Orillia. Any medical information collected here serves to authorize Cornerstone Baptist Church, Orillia and its staff and volunteers, to obtain medical assistance in emergencies. PLEASE NOTE: In the case of custody agreements, include the proper form authorizing parental contacts.
We will make every effort to place children with the friend that they have requested. Please note however, that we may not be able to to make every accommodation.
Please Note: The safety of your child is our primary concern. Precautions will be taken for their well-being and protection. Purposes and Extent: Cornerstone Baptist Church, Orillia is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to assign the student to the appropriate classes, to develop and nurture ongoing relationships with you and your child, and to inform you of program updates and upcoming opportunities at our Church. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish Cornerstone Baptist Church to limit the information collected, or to view your child’s information, please contact us.
I/we, the parents or guardians named above, authorize Shara Aldom or one of the Cornerstone Baptist Church, Orillia Ministry Personnel, to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above.
I/we, the parents or guardians named above, undertake and agree to indemnify and hold blameless Cornerstone Baptist Church, Orillia, the Board of Elected Elders and Ministry Personnel from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of Cornerstone Baptist Church, Orillia as well as of any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in or traveling to or from events of Cornerstone Baptist Church, Orillia.
I/we, the parents or guardians named above, GRANT PERMISSION for the reasonable use of pictures containing our child in any or all of the following ways (please indicate any or all):
I have read, understood and agree with the above and sign it to cover the activities listed below.
- Ice Cream Store (walking)
- Bowling Alley (walking)
- Fairgrounds for a Games Day (walking)
- Zoo Tek (on site)
- Inflatable Day (on site)
