TLC Summer Ministry Release
Summer 2022
PLEASE SELECT EVENT
Please Select
June 22 - MN Twins Game (11AM-4PM)
June 29 - Pool Party (Stooke's House)
July 13 - Second Harvest
July 27 - Pool Party (Stooke's House)
August 3 - Valley Fair (9AM-5PM)
August 17 - Pool Party(Stooke's House)
Student Name
First Name
Middle Name
Last Name
Student E-mail
example@example.com
Student Cell #
Health Insurance Company
Health Insurance Member # and Group #
Emergency Contact Person
Emergency Contact #
Please enter a valid phone number.
Parent/Guardian Release: I give my child permission to participate in summer programming at Transfiguration Lutheran in 2022. I understand that he/she must abide by the Youth Covenant. I understand that in case of emergency, every effort will be made to contact parents or guardian. I give my permission to the physician selected by staff/leaders to provide ANY medical treatment deemed necessary by said physician. I hereby release Transfiguration Lutheran and its staff, leaders, volunteers against any and all liability arising out of, or in any way connected with my child’s participation in Transfiguration Lutheran programming
Yes
Submit
Should be Empty: