• Youth Group Registration

    Middle & High School 2022-2023
  • Please complete this form prior to participating in our Middle School and High School program. If you have questions, let us know.  We are happy to answer them!  Email questions to (Middle School) Terry Marcus terry@christlutheranvail.org or (High School) Stacy Lowe foghorn97@msn.com.

  • YOUTH INFORMATION

  • PARENT/GUARDIAN INFORMATION

  • Parent/Guardian 1

  • Parent/Guardian 2 (Encouraged but not required :)

  • EMERGENCY INFORMATION

  • HEALTH INFORMATION

  • CONSENT FOR CARE & LIABILITY WAIVER

  • Consent for Emergency Care

    In case of an emergency, I understand every effort will be made to contact me or the emergency contact listed.  If I or my contact cannot be reached, I hereby give my permission to the licensed health care practitioner selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication.

  • Liability Waiver

    I and my family hereby waive, release and discharge any and all rights and claims for damages I/we may have against Christ Lutheran Vail Church, church staff and adult volunteers arising out of or from any illness, accident or other occurrence causing injury to any person or property during youth trips or events.

  • CONFIRMATION

    BY CHECKING 'YES' TO THE 'I AGREE' BOX AND ENTERING MY FULL NAME I RECOGNIZE I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AND WILL BE AS EQUALLY BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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