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FLY Youth Ministry Waiver 2021-22
Please fill out this form to register your high schooler for FLY activities!
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* Indicates required question
Student #1's Full Name
*
Your answer
Student #1's Grade (Fall '21)
*
Your answer
Student #2's Full Name
Your answer
Student #2's Grade (Fall '21)
Your answer
Student #3's Full Name
Your answer
Student #3's Grade (Fall '21)
Your answer
Parent(s)/Legal Guardian's Name:
*
Your answer
Primary phone number of parent(s)/legal guardian
*
Your answer
Parent Email Address
*
Your answer
Student's Allergies/Medical Conditions
Your answer
Emergency Contact Name (not a parent)
*
Your answer
Emergency Contact Phone Number
*
Your answer
Emergency Contact Relation to Student
Your answer
I give Faith Lutheran Church permission for my student to participate in all youth ministry events for the 2021 - 22 academic year
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Yes
No
I give permission for Faith Lutheran Church to provide transportation to select youth ministry events
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Yes
No
I grant permission for photos of my student to appear on the church website and church Instagram account
*
Yes
No
I understand the risks involved with sending my student to FLY events considering this time during the COVID-19 pandemic. I agree to watch my student's health and that they will follow all proper guidelines to help keep others safe while at FLY
*
Yes
No
In case of emergency, I give Faith Lutheran Church permission to bring my student to the nearest hospital for treatment. I understand that I will be notified immediately.
*
Yes
No
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