2022-23 Sunday School Registration
Child 1
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
School
Child 2
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
School
Child 3
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Grade
School
Home Address
Parent/Caregiver Name 1
Parent/Caregiver Cell Phone
Parent/Caregiver Email
Parent/Caregiver Name 2
Parent/Caregiver Cell Phone
Parent/Caregiver Email
Health Concerns for any child listed above
Emergency Contact and Phone
The strength of our Christian Education program depends on the contribution of its parents. I would like to assist this year by (you may choose more than one):
Providing special supplies for my child's class
Assisting with special children's ministry events or programs during the year, as available
Serving as a substitute Sunday school teacher
Serving as a Sunday school class assistant
Please check all of the below items to indicate that you have read each of them:
MEDIA CONSENT: I give permission to St. Martin’s-in-the-Field Episcopal Church to use photographs; video recordings; audio recordings; and/or other visual/audio reproductions in which my child/children listed above appears. I understand these materials are used to promote St. Martin’s ministries. I understand that only my child's first name will be used if he/she is referenced. My consent includes (but is not limited to) the church's website, social media accounts, and printed publications. I also understand that I may request that a specific image of my child/children be removed from a St. Martin’s publicity piece.
By signing this form, I give permission for my above named child/children to participate in Sunday School activities at St. Martin’s-in-the Fields Episcopal Church. I grant permission to St. Martin’s-in-the-Field Episcopal Church employees and/or volunteer staff to make medical decisions with respect to said minor child/children in the event of accident or injury when parental consent shall be unavailable or when circumstances require immediate medical decisions, and to administer medication when necessary.
Signature
Date
Submit
Should be Empty: