St. Paul's Lutheran Church Faith Connections Registration Form 2019-2020 School Year
Please fill out one form per child
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First parent/guardian name *
First parent/guardian phone number *
First parent/guardian email address *
Second parent/guardian name
Second parent/guardian phone number
Second parent/guardian email address
Name of child *
Name child prefers to be called *
Child's date of birth *
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Child's address *
Child's grade 2019-2020 school year *
In order to better meet the needs of your child, please share if there are any concerns we should be aware of (e.g. allergies, restrictions): *
Name and relationship of person(s) bringing child to/picking child up from Faith Connections: *
Child's cell phone number (if applicable)
Child's email address (if applicable)
I give my permission for St. Paul' Faith Formation staff to text, email or contact my child via social media regarding upcoming events for church.
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We believe. . . Two combined influences make a greater impact than just two individual influences. As parent(s)/guardian(s) of this child, I understand that I have a sacred responsibility to see to their religious education.  This responsibility can only be fulfilled if I work in partnership with the clergy and staff of St. Paul's and volunteer teachers of the Faith Connections ministry.  I, therefore, promise to make a conscientious effort to see to it that this child attends Sunday School as regularly as possible, and to work to reinforce their lessons at home.   *
Captionless Image
Required
I give my child permission to participate in all activities, assume all risk and allow St Paul's to secure medical help if necessary. *
I'm interested in serving in ministries with children, youth, and families.
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Media Release Statement- By agreeing with the statement below, I, hereby grant, voluntarily and with full understanding, to St. Paul’s Lutheran Church of Newark, a license to the following:  
1. Use and storage of my (or my child’s) image, by means of digital or film photography, video photography, audio recording or other documentation, with respect to the activity of Church for which I am registering. *
2. Use of any stored data including my (or my child’s) image in printed publications of Church. *
3. Use of any stored data including my (or my child’s) image in electronic publications or social media accounts of Church. *
4. Use of any stored data including my (or my child’s) image in any Web site created by or for Church. *
5. I am entering this agreement on behalf of a minor child, I hereby warrant that I am the legal parent or guardian of the child and that I have the legal authority to enter this agreement on behalf of the child. *
6. If a dispute over this agreement or any claim for damages arises, I agree to resolve the matter through a mutually acceptable alternative dispute resolution process. *
7. I specifically authorize Church to use my (or my child’s) name and image for all the purposes listed above. *
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