7th & 8th Grade Confirmation Class Registration
Parent Meeting -
September 4, 2024 6:30pm
Confirmation Workshops for Students Begin
Sunday, September 8, 2024, 8:30am
or Wednesday, September 11, 2024, 5:30pm
Choose Sunday or Wednesday
*
Sunday (begin September 8, 2024, 8:30am - 9:20am)
Wednesday (begin September 11, 2024, 5:30pm - 6:20pm)
Student Name
*
First Name
Last Name
Male
Female
Grade
*
7th Grade
8th Grade
Parent/Guardian Name(s)
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Phone Number
*
-
Area Code
Phone Number
Parent Email
*
example@example.com
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 permissionto use my child's likeness in a photograph in any and all of its printpublications and communication mediums such as website, e-mail, socialnetworks, video, television, billboard, etc...without payment or otherconsideration.
Signature
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