In the case of an emergency every attempt will be made to get in touch with a child's parent. Please leave us an alternative contact in case we cannot reach you.
Permission and Medical Release
I give permission for my child/children to participate in Chancel Drama Week at Nassau Presbyterian Church. 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.
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. I understand that the names and personal information of my child will not be published with photos or voice recordings.
Payment Due Date: Sunday, June 16
Registration per person: $50.00
Checks made out to "Nassau Presbyterian Church" with "CDW 2018" in the Memo Line, can be dropped in the "Forms Box" in the church office or mailed to:
Lauren YehNassau Presbyterian Church61 Nassau StreetPrinceton, NJ 08542
We only take credit card payments online. To pay by Credit Card or PayPal, check the box below and type in the number of registrations you want to charge.
The online registration amount includes the PayPal fee charged to Nassau Presbyterian Church.
Clicking "Submit" will take you to the PayPal website to complete the payment transaction. You do not need a PayPal account in order to pay by credit card.