Please use this form to register all children and youth from birth through Grade 12.
Emergency Contact Information (someone other than a parent/guardian):
Youth in Grades 6-12 enrolled in NPC Fellowship groups:
By registering my child I give permission for the adult leaders to escort my child on walking trips or drive my child in rented vehicle or a personal vehicle to nearby locations during Fellowship and other youth ministry events.
Overnight events will require separate registration and/or permission forms.
Photo & Voice Release
I hereby grant permission to Nassau Presbyterian Church to use my child’s photo and/or voice recording on their website, multimedia, Facebook page, Youth Ministry Facebook group, or in other official organization publications. I also acknowledge that Nassau Presbyterian Church may choose not to use my child’s photo/voice at this time, but may do so at its own discretion at a later date. With the exception of Youth Sunday sermons, which are posted on the church web site with the names of youth, I understand that the names and personal information of my child will not be published with photos or voice recordings.
Required for Participation in Fellowship & Music Programs
I give permission for my child/children to participate in Church School, Fellowship, and/or Choir program(s). In case of emergency, I understand that every effort will be made to contact the parents, guardians, or alternate contact of the registered child. In the event that I cannot be reached, I give permission to the physician selected by Nassau Presbyterian Church to hospitalize, secure proper treatment for, and to order anesthesia or surgery for my child. I understand that I am financially responsible for any expense for medical care or transportation incurred on my child’s behalf. I hereby release Nassau Presbyterian Church, its employees, and volunteers from any responsibility for injuries or illness occurring as a result of or coincidental to my child’s participation in these programs.
After you hit "Submit" you will be redirected to a page on the NPC website where you can sign up for our regular bi-monthly newsletters.
A confirmation email with the information entered here will be sent to you as well.