Jesus Nights Registration
Student's Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
What parish are you from?
*
Has your child been to Jesus Nights before?
*
Nope, this is my first time!
Yes! I'm back again!
I hereby grant Damascus permission to use the likeness of my child in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.
*
Agreed
Parent Signature: By signing below, I express my understanding and intent to enter into this Permission, Indemnification and Release, & Medical Power of Attorney willingly and voluntarily.
*
Clear
Parent Name
First Name
Last Name
Submit
Should be Empty: