ERBC Students Permission Form 2 - Personal Information


Use of Personal Information

Edwards Road Baptist Church is authorized to maintain the information below for use in future Student Ministry Activities. The Participant understands that if any of the information changes, the Participant must provide updated information to the Student Ministry Office.

Please provide us with a photocopy (front and back) of the Subscriber’s Insurance Card. If the Participant does not have Insurance coverage, they will need to purchase a temporary policy and provide a copy of the temporary card to the Student Ministry Office prior to participating in the Activity.

Students Form 2

Be sure to press the "Submit" button to enable your information to be sent to ERBC.