River of LIFE Sunday School

PARTICIPANT INFORMATION
(Student Information)

First & Last Name

Birthdate

Gender

Male Female

Address

Phone

Allergies

Other Info

PARENT / GUARDIAN INFORMATION
(Required Section)

Parent/Guardian Name

Phone:

Address (if different than above)

Parent/Guardian Name

Phone:

Address (if different than above)

VOLUNTEER INTEREST

I can help in the following ways Teacher Substitute Teacher Lead Large Opening Organize Christmas Program VBS Planning Committee Other (describe in comments)

Comments

EMERGENCY CONTACT INFORMATION
(Required Section)

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone

CONSENTS
(Required Section)

If you have concerns regarding any of the consents below, please contact the office for more information on how to register.

Photograph Release: I grant permission for River of LIFE Lutheran Church to post photos and videos including my child(ren) on its website, Facebook, slide show or in other church publications.

Yes No

Medical Treatment Permission: In the event of a medical emergency and when a contact cannot be made in a timely manner to me and/or the emergency contact listed, I give my permission for my child to receive appropriate medical attention. In the event of an unforeseen emergency or any accidents, I release River of LIFE Lutheran Church, its employees and volunteers, and all those related to it, from any liability. I have provided emergency contact numbers and am assured that I will be contacted as soon as possible in the event that there is an emergency.

I agree

Liability Release: To the fullest extent permitted by law, I release River of LIFE Lutheran Church its trustees, officers, directors, employees, agents and representatives from any injury, harm, damage or death which may occur to my minor child while participating in the activity and agree to save and hold harmless River of LIFE Lutheran Church , its trustees officers, directors, employees, agents and representatives from any claims arising out of my minor child’s participation in the activity.

I Agree

I would like more information about River of LIFE in the areas checked below: Sunday School Confirmation Jr. High Youth Group (Grades 5-8) Sr. High Youth Group (Grades 9-12) Adult Bible Study Church Membership Baptism Other (specify in comments section below)

https://www.riveroflifelutheran.com/

Comments / Other Information You Would Like Us to Know::

River of LIFE Sunday School | 2023-2024

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River of LIFE Sunday School | 2023-2024

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