HFL ONLINE Registration

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HFL ONLINE Registration

Child's Last Name *

Child's First Name *

Birthdate *

YYYY

Gender *

Child's Grade in School 2023-24 *

School Attending *

Siblings Attending HFL

Parents/Guardian Names *

Address *

E-Mail Address to use for Communications *

Parents/Guardian Phone (Best to Contact during HFL) *

I would like to sign up for HFL Text Messages *

Emergency Contact if Parent/Guardian Cannot Be Reached *

Emergency Contact Phone *

Are there food allergies we should be aware of? *

If yes, please list allergies.

Are there any medical, health, or behavior issues we should be aware of? *

If yes, please explain.

Does your child need an HFL T-Shirt? *

T-Shirt Size? *

Will your child need transportation from school? *

Yes, please transport my child from school to North Oak

No, my child will arrive by 3:30 each Wednesday

Required

WILSON TRANSPORTATION PERMISSION

If attending Wilson School: I give permission for my child to walk from Wilson School to North Oak Community Church with designated HFL Staff each week. In severe weather conditions, my child may be driven to North Oak Community Church by a designated HFL volunteer.

OTHER TRANSPORTATION PERMISSION

I give permission for my child to be transported from the school marked above to North Oak Community Church on Wednesdays after school by designated HFL volunteers each week.

PHOTO AND VIDEO PERMISSION

I give permission for my child to have a photo or video taken at HFL and then released onto the NOCC website or Facebook page. NO child's name will be posted, only photos or videos. This authorization will eliminate the need for special permission before each photo or video is posted and will assure each child privacy in social media.

FIELD TRIP PERMISSION

I give permission for my child to participate in "field trips" planned by HFL. It is understood that this permission is to remain effective for the entire school year provided the parent or guardian signed below does not, in the meantime, notify HFL of any change. This authorization will eliminate the need for special permission before each trip and will assure each child the opportunity to be included in such activities. Advance notice will be given.

TREATMENT PERMISSION

In case of emergency, I hereby give permission to the physician selected by the North Oak Community Church staff and or assigned personnel to hospitalize, secure treatment for, and to order injection, anesthesia and/or surgery for the student named above.

PICK-UP PERMISSION

I give permission for my child to be transported from North Oak Community Church after HFL by (list names of authorized pick-up people):

By clicking below I consent to the use of electronic signatures. *

I consent

Parent or Guardian Name *

Date *

YYYY

Parent or Guardian's Signature *

DO NOT TYPE YOUR NAME!! Click on the green button in the top left-hand corner. It will take you to a page to sign your name. You will copy your signature, then come back to this form and paste it. When pasted, it will show up as a URL, but we will be able to see your signature.

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