7th & 8th Grade Class Registration
Wednesdays beginning September 16, 2026 6:30pm - 8:00pm
Student Name
*
First Name
Last Name
Student Phone Number
*
Format: (000) 000-0000.
Male
Female
Grade
*
Please Select
7th Grade
8th Grade
Medical Information
*
Are there any medical conditions that LCOOR Staff/Volunteers should be aware of?
Parent/Guardian 1
*
Name - Phone Number - Email - Mailing Address
Parent/Guardian 2
Name - Phone Number - Email - Mailing Address
In case of Emergency, contact
*
First Name
Last Name
Emergency Phone Number
*
Format: (000) 000-0000.
Permission (please check box if acceptable)
*
I/We give permission for my/our child to participate inactivities sponsored by Lutheran Church of Our Redeemer of Watertown, SouthDakota. I/We understand that a church staff member(s) and/orvolunteer chaperones will accompany my/our child and other children. I/Weunderstand that the children may be transported in privately owned cars drivenby parents of students. I/We agree that the travel arrangements areappropriate. I/We waive any claim against the church, its employees or thevolunteer chaperones for any injury suffered by my child in excess of thechurch's insurance limits.
In case of medical/dental emergency concerning my child,at a time when I/We cannot be notified, I/We hereby authorize Lutheran Churchof Our Redeemer officials to act on my behalf in seeking emergency treatmentfor my child in the event that such treatment is deemed necessary. I/We givepermission to those administering emergency treatment to do so using thosemeasures deemed necessary, such as but not limited to x-ray examinations,anesthetics or medications, medical/surgical/dental diagnosis or treatment,and/or hospital care. I/We absolve Lutheran Church of Our Redeemer, itsemployees and volunteer chaperones from liability in acting on my behalf inthis regard.
I/We hereby grant Lutheran Church of Our Redeemer permission to use my child's likeness in a photograph in any and all of its print publications and communication mediums such as website, e-mail, social networks, video, television, billboard, etc...without payment or other consideration.
Volunteer
Teach or CoTeach
Signature
Submit
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