Paramount Baptist Church

Summer MDO Registration | 2025

Child Information:

First Name

Last Name

Gender

T-Shirt Size (field trip age only)

Birthdate

Does your child have any allergies we need to be aware of? If yes, list below.

Paramount WOW has permission to photograph my child during WOW and to use the photographs for promotional purposes if so desired.

Yes

No

My child is 4 (by June 1, 2025) and I give permission for him/her to attend field trips.

Yes

No

Parent/Guardian Signature

Parent/Guardian Information:

First Name

Last Name

Relationship to Child

Email

Phone Number

Family Information:

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Emergency Contact

Name

Relationship to Child

Phone Number