Club Jesus Registration — First Baptist Gower

Club Jesus Registration

2025-2026

Please fill out the form below to register your child/children for Club Jesus!

All children including potty-trained 3 year olds to 5th grade students are welcome!

Club Jesus is Sunday Nights from 5:30-6:30 during the school year!

Child's Name

First Name

Last Name

Grade Level

Child's Name (2)

First Name

Last Name

Grade Level

Child's Name (3)

First Name

Last Name

Grade Level

Parent/Guardian Name

First Name

Last Name

Phone

(###)

###

####

Emergency Contact Information

Name, Relationship, Phone Number

Please list all who may pick your child(ren) up.

May we have permission to photograph your child(ren) and use their photo in church publications?

Yes

By submitting this you are agreeing to the following: I am voluntarily participating in the aforementioned event at First Baptist Church of Gower and am participating at my own risk. I am aware of the risks associated with this event. I agree that First Baptist Church of Gower will not be held liable for any injury or loss related to this event. First Baptist Church of Gower is released from any and all claims, suits, or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf including any attorney’s fees and any related costs.

To verify this statement, please type your initials below.