To register Your child for WinShape Camps, click HERE
To make a payment on a trip or event already registered, click HERE
To complete the WRBC Database Profile, click HERE.
Insurance is required information for hospital, if treatment is needed. Information is used for medical treatment purposes only. By submitting this registration form, I (we) understand that sickness and/or accidents may occur while participating in church sponsored activities and that in such cases, a representative of the church will notify me of the situation as soon as it is feasible. I understand that this contact will be secondary to the attention, security of the group, and welfare of my child.
In the event my child experiences sickness or accident, I (we) grant permission to Westport Road Baptist Church and/or its representative(s) to seek medical care as deemed necessary. In the event that medical treatment is necessary, I agree to reimburse Westport Road Baptist Church for any expenses paid by the church while seking medical care for my child.
I acknowledge that my minor may be riding with an authorized agent(s) from Westport Road Baptist Church if transport is required. I release all liability this agent along with Westport Road Baptist Church and any affiliate representing as such, who in acting in a responsible manner, who may be transporting my minor to and from activities.
I (we) understand that my/our child’s likeness may be photographed or video recorded by Westport Road Baptist Church in the course of church activities. I (we) grant consent for use of my/our child’s photos or likeness in materials, digitally or in print.
If you are registering more than four players, please contact Larry Pursiful directly.
You have indicated a request benevolence/scholarship support for this particular event/program. Please use the text box below to briefly state the reason for the request and it will be confidentially submitted to the appropriate minister. You will be informed of the decision, or contacted directly if further information is required.
You have chosen to pay the fees via check or cash. Checks may be mailed to WRBC to 9705 Westport Road, Louisville, KY 40241. Please note the program/event on the memo line. Checks or cash may also be delivered to the office directly, Monday through Friday 9am-4:30pm. Your registration is not complete until payment is received.
Once you submit the form (below), you will be directed to a secure payment site via PayPal. Complete the payment information on that site and upon payment approval, your registration will be complete. Your registration is not complete until payment is received. Please allow up to 48 hours for processing.