2024/25 Returning Family Registration Form

Parent/Guardian #1

Your Name

You are Parent - Mother Parent - Father Guardian Other

Phone

Address

Returning Students Name(s)

Do you need to update any phone numbers, addresses, schools, health concerns, or anything else for our records?

Parental/Guardian Permissions

I release Calvary Reformed Church and its staff from all liability for accidents incurred, while being transported as part of the program, as long as no church representative has been grossly negligent.

I give my permission for my child(ren) to be transported to and from Calvary for programs and events. I do not give my permission for my child(ren) to be transported to and from Calvary for programs and events.

Photography

I give permission for my child(ren)’s name, work, photograph, to be used in any Calvary publications, including those online. I do not give permission for my child(ren)’s name, work, photograph, to be used in any Calvary publications, including those online.

To Treat in case of emergency: If you cannot be reached in an emergency, we need to be given permission to treat your child onsite or with a physician selected by Staff to hospitalize, secure proper treatment for, and to order injections, anesthesia, or surgery for my child(ren). In case of an emergency, I understand that every effort will be made to contact me. If I cannot be reached, I hereby give Calvary Reformed Church’s staff permission to act on my behalf in seeking emergency treatment for my child. I also authorize any hospital which has given treatment to my child to release the child to Calvary Reformed Church and its adult staff members when treatment is completed. I also release Calvary Reformed Church and its staff from all liability as long as no church representative has been grossly negligent. (If permission is not given, your child(ren) may not ever be on church premises without you.)

I give Calvary permission to treat my child in this situation or to select proper medical care for my child if I cannot be reached. I do not give Calvary permission to treat my child in this situation or to select proper medical care for my child if I cannot be reached.

Digital Signature

I have read, understood, and completed the Calvary Family Registration Form. (Please type your name below).

2024/25 Returning Family Registration Form

Description

Please Fix the Following