Lenten Small Group Registration
With Jesus to the Cross: is a 7-week Small Group will focus on the Sunday readings as put together by The Evangelical Catholic.  Enrich your experience of the life, death, and resurrection of Jesus through reflection on the Sunday Lent and Easter Scriptures. Questions on the words and actions of Jesus and his followers, and the Old Testament stories prefiguring or predicting his mission, open our eyes to God’s ways in the world and in our hearts.

Opportunities to meet in person and virtually. Groups meeting in person will be socially distanced at Nativity and all participants must wear masks. As part of this registration, we have included two of the main documents now required for insurance reasons for any online or in person gatherings. Please review and let us know if you have any questions.
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Email *
First Name *
Last Name *
Phone Number *
Gender *
Age Group (The only group that is separated by age will be our Young Adult group. We are tracking age only to give us a sense of who is signing up!) *
What parish do you belong to? *
Required
Would you be interested in helping to lead one of our small groups? *
We are blessed with several group days and times. What is best for your schedule? *
Required
Do you have any questions about joining a group? Anything that we should know as we are forming groups?
Novel Coronavirus Acknowledgement & Assumption of Risk
I acknowledge and understand, the novel coronavirus, COVID-19 has been declared a worldwide pandemic by the World Health Organization. Further, that COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. I also acknowledge, that federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited or limited the congregation of groups of people. I agree, represent and warrant that neither the undersigned, nor any registered participant child(ren)  shall visit or utilize the facilities, programs, activities, or services of Nativity of Our Lord within 14 days after (1) returning from outside the United States, (2) exposure to any person returning from outside the United States, or (3) exposure to any person who has a suspected or confirmed case of COVID-19. I hereby agree, represent and warrant that neither the undersigned nor any registered participant child(ren) shall visit or utilize the facilities, programs, activities, or services of Nativity of Our Lord if he or she (1) experiences symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath, or (2) has suspected or diagnosed/confirmed case of COVID-19. The undersigned agrees to notify Nativity of Our Lord immediately if any of the foregoing access or use restrictions may apply. Nativity of Our Lord has put in place preventative measures to reduce the spread of COVID-19.  I agree to comply with measures that Nativity of Our Lord may require to best protect against the introduction of viruses at Nativity of Our Lord, including, but not limited to, hygiene practices and temperature screening, related to myself and/or my child(ren). Nativity of Our Lord cannot guarantee that my child(ren) will not become infected with COVID-19. I understand and agree that attending Nativity of Our Lord could increase my risk and my child(ren)’s risk of contracting COVID-19.By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by participating in programs of or attending Nativity of Our Lord and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Nativity of Our Lord may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Nativity of Our Lord employees, volunteers, and program participants and their families.
I have read the above Novel Coronavirus Acknowledgement & Assumption of Risk, have had the opportunity to consider their terms, and understand them. I execute this document voluntarily and with full knowledge of its significance. (Please type your full name below as your electronic signature and agreement to the Novel Coronavirus Acknowledgement & Assumption of Risk.) *
Required
AUTHORIZATION, CONSENT AND RELEASE FOR USE OF VISUAL LIKENESSES AND ORIGINAL WORKS

I ______________________________________ (full name) grant the following rights to Nativity of Our Lord and the Archdiocese of Saint Paul and Minneapolis:
1. The right to use all photographs, pictures, portraits, vocal sounds, appearances/likenesses, video and performances (hereinafter collectively known as “image”) of me in the possession of Nativity of Our Lord
2. The right to use, reproduce, publish, exhibit, distribute, and transmit the image of me individually or in conjunction with other images or printed matter in the production of brochures, slides, motion pictures, broadcasts (radio, television, and other social and digital media), audio or video files, recordings, still photography, CD-Rom and any other manner of media now known or later developed;
3. The right to use, reproduce, publish, exhibit, distribute, and transmit the image of me individually or in conjunction with other images or printed matter on Nativity of Our Lord and the Archdiocese of Saint Paul and Minneapolis’s Internet websites. No home address or phone number will be published;
4. The right to record, reproduce, amplify, edit, and simulate my image and all sound effects produced;
5. The right to copyright, in the name of Nativity of Our Lord and the Archdiocese of Saint Paul and Minneapolis, works that contain the image of me;
6. The right to use and publish for general communications, advertising, commercial or publicity purposes, or for any other lawful purpose whatsoever my original work; and
7. The right to assign the above-mentioned rights to third parties without notice to me.
I understand that the video files, still photos, or other media incorporating the image of me will become the property of Nativity of Our Lord. I hereby waive the right to inspect or approve the image or any finished materials that incorporate the image.
I understand and agree that no compensation will be provided, now or in the future, in connection with the use of my image or my original work.
I hereby release, discharge, and agree to indemnify and hold harmless Nativity of Our Lord, the Archdiocese of Saint Paul and Minneapolis, and their agents, employees and assigns from any and all claims, demands, right, and causes of action of whatever kind that I have or may have or may arise by reason of this authorization and from the use of my image and original work, including but not limited to, all claims for libel and invasion of privacy.
This consent regarding my likeness and original work is valid until such time as I choose to rescind this authorization and consent. If I choose to rescind this authorization and consent, I agree that I will inform Nativity of Our Lord in writing and that my rescission will not take effect until it is received by Nativity of Our Lord. I understand and acknowledge that it may not be possible to recall any work or photos that have been published prior to receipt of my written rescission.
I hereby authorize and consent that Nativity of Our Lord and the Archdiocese of Saint Paul and Minneapolis have the right to use my name in connection with their educational, promotional, fund-raising activities, or for any other legitimate purpose.

I have read the above Disclosures, Authorizations, and Releases, have had the opportunity to consider their terms, and understand them. I execute this document voluntarily and with full knowledge of its significance. Please type your full name below as your electronic signature and agreement to the AUTHORIZATION, CONSENT AND RELEASE FOR USE OF VISUAL LIKENESSES AND ORIGINAL WORKS . *
Please type your full name below as your electronic signature and agreement to the above form.
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