Fields marked with a * are required.
Parent(s) Information (required)
Please send religious education communication (announcements, schedule changes, etc) via:
(Choose Text Message, Email or Both)
Child #1 (required)
Child #2 (optional)
Child #3 (optional)
Child #4 (optional)
If needing to register more than 4 children, please submit this form again for the additional children.
Please be assured the well being of those who participate in our program is our high priority. We give careful thought to and implement basic rules of safety and conduct, and provide supervision and instruction needed to safely participate in our program. It is impossible for us to eliminate all risk and unforeseen hazards, but reasonable precautions will be taken to protect all participants. I/We herby give permission for student, previously named, to participate in all religious education activities. I/We also consent to the use of any photographs of my child or family for use by the church only for display in the church hall, bulletin boards and the church web page. I understand that every effort will be made to contact me and or my emergency contact but if my child needs emergency medical treatment. Al hereby give permission to do so. I herby give my permission to the physician selected by the staff to secure proper treatment.