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On Saturday September 13th, the Youth Group (grades 7-12) will be travelling to Canada's Wonderland for the day. All youth will meet at the church and the youth leaders will drive the youth to the park. Please note, once we enter the park, any youth in grades 9-12 are allowed to travel through the park without a leader as long as they stay in their previously discussed groups. There will be multiple checkpoints throughout the day where all youth will be required to meet as a group and check in with the leaders before heading back into the park. 

Please fill out the information below to register your youth for this event. 

*Cost: $55 per person (free for those with a season's pass)

Signature of Consent:

The safety of your child is our primary concern. Precautions will be taken for their well-being and protection.

I/we, the parents or guardians named above, authorize the Port Perry Baptist Church Ministry Personnel to sign 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, named above, undertake and agree to indemnify and hold blameless the Ministry Personnel, Port Perry Baptist Church, its Pastors and Board of Elders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of the Port Perry Baptist Church, 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 events of the Port Perry Baptist Church.

Purposes and Extent:

Port Perry Baptist Church is collecting and retaining this personal information for the purpose of enrolling your child in our programs, 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 Port Perry Baptist Church to limit the information collected, or to view your child’s information, please contact us.

Today's Date: September 3, 2025

First Participant's Name
First Name*
Last Name*
Phone*
Select Gender
First Participant's Date of Birth*
Date of Birth
First Participant's Information
Please list any special instructions in regards to medical treatment
Do you a have Canada's Wonderland Season Pass?*
No
Yes
Please list all allergies
Will your child be bringing an Epi-pen?*
No
Yes
Please list any medications your child will be bringing with them. Please note, leaders will need to hold on to it for the day
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Second Participant's Information
Please list any special instructions in regards to medical treatment
Do you a have Canada's Wonderland Season Pass?*
No
Yes
Please list all allergies
Will your child be bringing an Epi-pen?*
No
Yes
Please list any medications your child will be bringing with them. Please note, leaders will need to hold on to it for the day
Third Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Information
Please list any special instructions in regards to medical treatment
Do you a have Canada's Wonderland Season Pass?*
No
Yes
Please list all allergies
Will your child be bringing an Epi-pen?*
No
Yes
Please list any medications your child will be bringing with them. Please note, leaders will need to hold on to it for the day
Fourth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
Please list any special instructions in regards to medical treatment
Do you a have Canada's Wonderland Season Pass?*
No
Yes
Please list all allergies
Will your child be bringing an Epi-pen?*
No
Yes
Please list any medications your child will be bringing with them. Please note, leaders will need to hold on to it for the day
Fifth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
Please list any special instructions in regards to medical treatment
Do you a have Canada's Wonderland Season Pass?*
No
Yes
Please list all allergies
Will your child be bringing an Epi-pen?*
No
Yes
Please list any medications your child will be bringing with them. Please note, leaders will need to hold on to it for the day
Sixth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
Please list any special instructions in regards to medical treatment
Do you a have Canada's Wonderland Season Pass?*
No
Yes
Please list all allergies
Will your child be bringing an Epi-pen?*
No
Yes
Please list any medications your child will be bringing with them. Please note, leaders will need to hold on to it for the day
Seventh Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
Please list any special instructions in regards to medical treatment
Do you a have Canada's Wonderland Season Pass?*
No
Yes
Please list all allergies
Will your child be bringing an Epi-pen?*
No
Yes
Please list any medications your child will be bringing with them. Please note, leaders will need to hold on to it for the day
Eighth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
Please list any special instructions in regards to medical treatment
Do you a have Canada's Wonderland Season Pass?*
No
Yes
Please list all allergies
Will your child be bringing an Epi-pen?*
No
Yes
Please list any medications your child will be bringing with them. Please note, leaders will need to hold on to it for the day
Ninth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
Please list any special instructions in regards to medical treatment
Do you a have Canada's Wonderland Season Pass?*
No
Yes
Please list all allergies
Will your child be bringing an Epi-pen?*
No
Yes
Please list any medications your child will be bringing with them. Please note, leaders will need to hold on to it for the day
Tenth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
Please list any special instructions in regards to medical treatment
Do you a have Canada's Wonderland Season Pass?*
No
Yes
Please list all allergies
Will your child be bringing an Epi-pen?*
No
Yes
Please list any medications your child will be bringing with them. Please note, leaders will need to hold on to it for the day
Parent or Guardian's Email Address
Email*
Confirm Email*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Information
Please list any special instructions in regards to medical treatment
Do you a have Canada's Wonderland Season Pass?*
No
Yes
Please list all allergies
Will your child be bringing an Epi-pen?*
No
Yes
Please list any medications your child will be bringing with them. Please note, leaders will need to hold on to it for the day
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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