PRIVACY POLICY

In order to ensure your safety and the safety of others, we need to collect some basic information including (but not limited to): your current contact information, medical information and allergies. We understand the sensitive nature of this information, and every effort will be made to ensure its complete confidentiality. The information we collect in this package will be viewed solely by the ministry staff within our organization (GatewayKids) and our parent organization (Gateway Alliance Church), in accordance with Gateway’s Privacy Policy (available at gateway.ac/privacy). If necessary, this information will be shared with licensed medical professionals, including (but not limited to) nurses, paramedics and doctors, as outlined in our liability waiver below. Under no circumstances will any of this information be shared with a third-party without your consent, unless required by law.

 

By signing this form, you acknowledge that you have read these terms and give consent for the information collected to be used in accordance with this privacy policy.

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This Permission Form is valid for all of GatewayKids Programs and Events between September 2020 and August 2021


Review GatewayKids Privacy Policy

GatewayKids Annual Permission Form
(Valid from September 2020 - August 2021)

WHO WE ARE

GatewayKids provides a weekly kids program run by Gateway Alliance Church that provides a place to belong, where kids can discover and wrestle with what they believe, encounter God in incredible ways and become all that God created them to be! We are a safe place for all kids ages 0 thru Grade 6. We want to partner with parents to help kids’ build a foundation of faith that lasts. 

WHAT WE DO

Throughout the year, we run a weekly program on Sunday mornings running alongside our Sunday adult services. These services are carefully crafted to provide our kids with exciting opportunities to have fun, hear challenging messages about God and life, develop positive friendships, and encounter God. 

CHECK-IN & SAFETY

Because we value your kids' safety, we’ll need some basic information during the registration process for check-in, including: child’s name and birthday, family member’s name, email address, phone number, allergies, and any special instructions (medical information, diaper change, etc).

Once registered, future checked ins will be quick and easy. You will receive a guardian receipt to ensure only you (and people you designate) can pick up your child. The number on your child’s name tag and the number on your parent tag tag will match. During check out, our  leaders will scan your parent tag before releasing your child to you. 

In the event we need to contact you during the worship experience, we’ll send you a text message to notify you. Please keep your phone on vibrate and accessible during the worship experience.

Please note: All our GatewayKids volunteers are heavily screened and have valid Police Checks and Plan-to-Protect training. So rest assured – your kids are in loving and capable hands! Your child’s safety is our number one priority.

 

First Child's Name

First Name*

Last Name*
First Child's Date of Birth*
First Child's Information
Gender:*
Grade for the 2020/2021*

MEDICAL INFORMATION


Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this program/event
First Child's Signature*
Second Child's Name

First Name*

Last Name*
Second Child's Date of Birth*
Second Child's Information
Gender:*
Grade for the 2020/2021*

MEDICAL INFORMATION


Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this program/event
Third Child's Name

First Name*

Last Name*
Third Child's Date of Birth*
Third Child's Information
Gender:*
Grade for the 2020/2021*

MEDICAL INFORMATION


Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this program/event
Fourth Child's Name

First Name*

Last Name*
Fourth Child's Date of Birth*
Fourth Child's Information
Gender:*
Grade for the 2020/2021*

MEDICAL INFORMATION


Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this program/event
Fifth Child's Name

First Name*

Last Name*
Fifth Child's Date of Birth*
Fifth Child's Information
Gender:*
Grade for the 2020/2021*

MEDICAL INFORMATION


Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this program/event
Sixth Child's Name

First Name*

Last Name*
Sixth Child's Date of Birth*
Sixth Child's Information
Gender:*
Grade for the 2020/2021*

MEDICAL INFORMATION


Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this program/event
Seventh Child's Name

First Name*

Last Name*
Seventh Child's Date of Birth*
Seventh Child's Information
Gender:*
Grade for the 2020/2021*

MEDICAL INFORMATION


Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this program/event
Eighth Child's Name

First Name*

Last Name*
Eighth Child's Date of Birth*
Eighth Child's Information
Gender:*
Grade for the 2020/2021*

MEDICAL INFORMATION


Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this program/event
Ninth Child's Name

First Name*

Last Name*
Ninth Child's Date of Birth*
Ninth Child's Information
Gender:*
Grade for the 2020/2021*

MEDICAL INFORMATION


Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this program/event
Tenth Child's Name

First Name*

Last Name*
Tenth Child's Date of Birth*
Tenth Child's Information
Gender:*
Grade for the 2020/2021*

MEDICAL INFORMATION


Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this program/event
Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent/Guardian Information

Full Name *

Relationship to Student: *

Phone Number *
If you would like to receive occasional monthly updates about GatewayKids events, please indicate below.
Email Updates
Emergency Contact Information

Please note- in case of emergency we will first contact the parent/guardian listed above. If they are not available, we will contact the emergency contact listed here.


Emergency Contact Name *

Relationship to Student: *

Phone Number: *
Assumption of Risk & Liability

​Please Read Carefully!

By signing this release, you acknowledge that you understand and appreciate the inherent and other risks involved in your child/children's participation in GatewayKids programming and events during the 2020-2021 year, and certify that you have determined that your child/children is/are in good health and suitable to participate in the aforementioned events. Furthermore, you acknowledge that parts of this event may occur in facilities open to the public; recognizing the inherent added risks. To minimize such risks, your child/children shares the responsibility for his/her/their safety, and indicate that he/she/they have agreed to follow instructions, make reasonable decisions, and act responsibly in adherence with the expectations outlined above. Should your child/children become ill, or if deemed necessary by the church or its agents due to noncompliance with the above basic rules of conduct or list of expectations, you also agree to bring your child home at your own expense.

By signing this release, you acknowledge that Gateway Alliance Church and GatewayKids cannot ensure your child/children's safety, and choose to voluntarily allow your child/children to participate in this/these events despite all risks. You furthermore certify that you are competent and have read and understood this agreement and are signing it voluntarily; and that you have discussed these risks and dangers with your child/children attending this event; and hereby now and forever release Gateway Alliance Church and its employees, volunteers and agents from any and all liability claims you or your child/children may have for any injury, illness, disability, emotional distress, damage or loss of personal property relating to your child/children's participation in this event, whether described in this document or not.

Furthermore, by signing this release, you acknowledge that this agreement has no expiration date and remains in effect before, during, and after these events. Should any portion of this agreement be found invalid, you acknowledge that the rest shall continue in full force and effect.

In consideration of Gateway Alliance Church and GatewayKids allowing your child to participate in these events,  you furthermore agree to the following waivers:

Medical Waiver: In the event that your child/children require(s) medical treatment during one of our events, every reasonable effort will be made to contact you and/or the emergency contact listed above. Should your child/children require medical attention, you consent to any reasonable medical treatment as deemed necessary by a licensed physician; and acknowledge that you will be ultimately responsible for the cost of any medical care.  Furthermore, you certify that all the medical information contained in this form is up-to-date and valid. As necessary, you also acknowledge and authorize  the use of first aid by a person holding valid certification, as well as the use of CPR.

Photo Waiver: Gateway Alliance Church and GatewayKids may take and use photographs, video, and other images of yourself and your child/children participating in these or any other GatewayKids programming or event in accordance with our No Faces Policy (outlined below). You waive any right to privacy, compensation, copyright, or other rights to those images, and consent to Gateway Alliance Church and GatewayKids using those images for promotional purposes.

No Faces Policy: We understand your child's right to privacy online, and will refrain from taking or distributing photographs, videos, or other images of your child/children that include your child/children's defining features, such as their face.

COVID19 Waiver: While we will do everything in our power to ensure the safety of your child/children in accordance with Edmonton, Albertan & Canadian guidelines and law, we cannot ensure their complete safety while attending one of our programs/events. By signing this release, you release, covenant not to sue, discharge and hold harmless Gateway Alliance Church and GatewayKids of any and all liabilities, claims, actions, damages, costs, or expenses of any kind based on the actions, omissions, or negligence of Gateway Alliance Church and GatewayKids, its directors, employees, volunteers, agents and representatives; whether a COVID19 infection occurs before, during, or after participation in any Gateway Alliance Church or GatewayKids programming or activity.

By checking yes below & furthermore by signing this form, you acknowledge that as the legal guardian of the child/children named on this form, you have read the rules of conduct, have discussed them with your child/children, and grant permission for the child/children to participate in this program/event according with the policies listed above. *
Yes, I have read the terms and conditions outlined above
GatewayKids Expectations

  1. At no time is any child allowed to leave the classroom or event location without a leaders consent or knowledge

  2. Everyone is expected to respect any/all leaders that you encounter during this event, as well as the other kids that they are with. 

  3. Please honor and respect all facilities, vehicles, homes and properties that you are visiting

  4. Bullying will not be tolerated. 

  5. COVID19: Subject to the COVID19 Pandemic situation, kids are only allowed to attend in-person if they exhibit no symptoms of COVID19; and are expected to wear a mask at all times. This is a homeward bound rule, no exceptions.

PARENTS: By checking yes below & furthermore by signing this form, you acknowledge that you will review these rules with your child/children before this program/event, and that your child/children's failure to follow these rules will result in them not being allowed to participate in the programming. *
Yes, I have read the above rules & will review them with my child/children
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Gender:*
Grade for the 2020/2021*

MEDICAL INFORMATION


Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this program/event
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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