Christian Service Brigade 2023-24 Registration

September 5th through April, 6:30 p.m. | Please fill out this form and click submit. Brigade is for boys in grades 1-12. Unit dues are $15 per child annually and can be paid directly to Brigade leadership via cash or check (made out to PCC Brigade). Online credit/debit card payments made at the time of registration include additional fees per payment.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Dues are $15 per person annually. Cash or check payments (made to PCC Brigade) are accepted. Digital credit/debit card payments through this form's online payment option include additional fees per payment.
Family Information

 
Please select all that apply.
Note: An adult chaperone is NOT required to attend for child to participate. However, dads are welcome and encouraged to attend weekly Brigade meetings even if they are not filling a volunteer or leadership role.
 
 
 
 
 
 
 
 
Medical/Health Information

 
 
 
Please list any health issues that may affect the activities, food consumption, well-being or medical treatment of your child(ren), e.g. conditions like asthma, a physical handicap, allergies, heart condition. Also indicate any medications your child(ren) may be taking.
 
 
 
 
Adults who plan on attending Brigade events: please print, complete, and submit a PCC background check permission form to Brigade leadership. If you have completed this form for PCC in the past, background checks are good for 3 years from the last submission date. 

Check your confirmation email for a link to the form. 



Permissions

 
 
 
 
Portage Community Chapel and its representatives may take and use photos, videos, or other imaging formats of children participating in PCC-affiliated ministries. Participation in these activities constitutes agreement for use of such images for website, facebook, advertising, and other related purposes.

Every activity sponsored by Portage Community Chapel is carefully planned and adequately supervised. However, even with the best of planning and precaution, unforeseen events can occur. By signing this form, I agree to assume and accept all risks and hazards inherent in church-related social activities, both at the church and other locations selected by the church. I also agree not to hold this church or its employees or volunteer assistants liable for damages, losses or injuries to the person or property of the participating clubbers listed above. Every attempt will be made to contact the parent or emergency contact I have listed on this form. However, if I/they cannot be located, I hereby give my permission to the physician or dentist selected by the church leadership to secure proper medical treatment for my child, as deemed necessary. I understand that my electronic signature below is both a medical and liability release.
 
 
 
 
 
 
 
 
 
 

Description

September 5th through April, 6:30 p.m.
Please fill out this form and click submit. Brigade is for boys in grades 1-12. Unit dues are $15 per child annually and can be paid directly to Brigade leadership via cash or check (made out to PCC Brigade). Online credit/debit card payments made at the time of registration include additional fees per payment.