Children’s & Youth Activities Registration Form 2018 - 2019

St. John’s Episcopal Church
McLean, Virginia

Children’s & Youth Activities
Registration Form 2018 - 2019
Welcome to St. John's! We're happy that you're here and we look forward to growing with your child and your family throughout the program year. Please complete the information below and click submit. For questions, concerns or to volunteer, please email Whitney Wolf or call 571-488-6504.
 
This electronic form must be completed separately for each child -- If you prefer a paper form you may also download it here.
Please select one option.
Please select all that apply.
 
 
Parent / Guardian

 
 
 
 
 
 
How Will You Share Your Gifts with this Ministry?

(Please check all areas of possible interest and we will
contact you with more information and to help you discern the best fit for your interests / availability).
Please select all that apply.
Consent

I/We hereby give permission for my child/children to participate in St. John's children and youth activities. I understand that reasonable precautions will be exercised by the staff and volunteer leaders and that at least one parent or guardian will normally be present on Sunday mornings. Neither the volunteers nor St. John's Church will be responsible for theft or damage to personal property, nor for boldly injury. I understand that under ordinary circumstances accidents can occur and that injuries can result. Unless otherwise notified, I certify that my child is of normal health and is physically able to participate in church activities. Any allergies, medications or special needs have been noted on this form. In the event of an accident or an illness while at church and attempts to contact a parent are unsuccessful, I give permission for my child to receive emergency medical treatment as deemed necessary by emergency medical personnel. This permission remains in effect from September 1, 2018 - August 31, 2019 unless it is terminated by me in writing.
 
Photography Release

I/We authorize St. John’s Episcopal Church in McLean, Virginia to use and/or display photography of my child in publications, multimedia productions, displays, advertisements or internet publication related to the promotion of St. John’s Episcopal Church or in the promotion of any activities, events, or programs supported by St. John’s Episcopal Church. The child’s name will not be disclosed should images be utilized. In granting this consent, I/We agree to release and forever discharge St. John’s Episcopal Church and its staff members, agents, and employees from any and all claims and demands arising out of or in connection with the use of said photographs / images, including but not limited to, any claims for invasion of privacy or defamation. This authorization is valid from September 1, 2018 - August 31, 2019 unless it is terminated by me in writing.
Please select all that apply.
 
Thank you!

Description

St. John’s Episcopal Church
McLean, Virginia

Children’s & Youth Activities
Registration Form 2018 - 2019