Houston Berean SDA Church

Worship. Discipleship. Relationship. Stewardship.

2023 Child Information Form

Child Information

Additional Information

Photo/Video Release

Photographs and/or video will be taken and possibly used for publications related to Houston Berean SDA Church, such as church bulletins, newsletters, presentations and website. As a Parent/Guardian, I give permissions to Houston Berean SDA Church to photograph and/or record my child/children.

Medical Release

As a parent/guardian, I authorize the treatment by a qualified doctor of the minor(s) listed in the event of an medical emergency while participating in at Houston Berean SDA Church.


Final Authorization

By selecting I DO agree below, I attest that I am the parent/guardian for the child(ren) listed and all information provide above has been answered fully and correctly.