CORE Registration Grades 4-6

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

CORE will happen on a biweekly basis this year. Grades 4-6 and Grades 7-8 will meet separately every other week from 6-7:15. Here is a link to our google calendar. 23-24 Google Calendar

While a lot happens during the time we spend together, at the heart of CORE is one primary mission: helping students build stronger connections to God, their families & one another.

Child's Name *

2nd Child's Name

1st Child's Grade Level *

Second Child's grade level for 22-23

Parent's Names *

Address *

Phone Number *

Email *

Disclaimer: I, the parent and/or guardian to the above children, give permission for my child to attend and participate in activities sponsored by Living Water. I, authorize an adult, in whose care the minor has been entrusted, to consent to any emergency medical care if I cannot be reached. The undersigned shall be liable and agree to pay all costs and expenses incurred in connection with such medical services. The undersigned does also give permission for my child to be a passenger in any vehicle that has adequate insurance. *

I agree to the above statement and give Living Water my permission

I do not agree to the above statement and do not give Living Water my permission

MEDIA RELEASE: By submitting this form, you give permission for the children listed below to be photographed and/or video/audio taped at Living Water Church or at events sponsored and/or approved by Living water. I understand that these photos or video/audio tapes may be used for instruction purposes, presentations, general uses for the children, and other things throughout the church. These photos may also be displayed on bulletin boards at Living water, the Living Water website, the Living Water Facebook pages, sent into the local media, or used in brochures promoting the church, youth and/or children programs, and/or mission projects. *

Yes, I give Living Water permission to photograph my child(ren)

No, I do not give Living Water permission to photograph my child(ren)

Does your CORE son or daughter have any aversion to dogs (a trained, hypoallergenic therapy dog will be joining one of our leaders periodically on Wednesday night at CORE)?

Yes

Clear selection

CORE registration fee - 20.00/child 40 max per family. This will be collected at our parent meeting.

I understand

A required parent meeting and family night will be held on Wednesday, September 13th from 6:00-7:00. *

I understand and will make every effort to attend

Other:

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of School District of Cameron. Report Abuse

Forms