The First to Meet Jesus

“The First to Meet Jesus”

REGISTRATION FORM for Advent Event at St. Luke's Church
The First to Meet Jesus - An Advent Event

Saturday, December 6, 2:30 p.m. until 4:00 p.m.

We are inviting independent 4 year olds and older children.

Join us to hear a story of who were "The First to Meet Jesus". Enjoy crafts, music with Grandpa Bob, games and snacks.

Please help us by registering online by November 29th.

Thanks so much!

The event is free, but please consider bringing in a new teddy bear to donate.
Child/Youth Name

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Parent/Guardian Information
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Person authorized to pick up this child other than parent: Name .
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The safety of all children is extremely important to us! SO photo ID will be required when picking up your child.
Informed Consent and Acknowledgement AUTHORIZATION TO TREAT: I authorize the adult agents and employees of St. Luke’s Episcopal Church in charge of the program to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment, and hospital care to be rendered to my above named minor child under the general special supervision and upon the advice of a physician and surgeon licensed under the provision of the Medical Practice Act, pursuant to Section 25.8 of Pennsylvania Civil Code and agree to be responsible for all cost thereby incurred.
I have read the above application and agreement and fully understand that I assume all risks for any injuries received.
Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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“The First to Meet Jesus”