La Salle Student Ministry Yearly Registration 2018-2019

Hi Parents,
It's important for us to have up-to-date information so we can confidently care for your son or daughter at each youth event. Thank you for trusting us with your child, we don't take this opportunity lightly and will try our best to ensure your son or daughter has a phenomenal experience at each event.
___________
-Steve Bock
call/text 204.298.7447
 
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Parent/Guardian Information

 
 
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I hereby consent to let my child, to participate in La Salle Student Ministry hosted by La Salle Community Fellowship.

I consent that photographs or video footage may be publically taken of the minor by ministry leaders, for ministry purposes only (which may include posting to social media and/or the ministry website). Media consent may be withdrawn by me at anytime, upon written notice.

I/we, the Parents or guardians named below, authorize one of the church’s Youth Program Personnel to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above.

I/we, named below, undertake and agree to indemnify and hold harmless Program Personnel, the church, and its leaders, from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of the church, as well as of any medical treatment authorized by the supervising individuals representing organization. This consent and authorization is effective only when participating in or traveling to events sponsored by the church.
Purposes and Extent:
The church is collecting and retaining this personal information for the purpose of enrolling your Child in our programs, to assign the student to the appropriate classes, to develop and nurture ongoing relationships with you and your Child, and to inform you of program updates and upcoming opportunities at our organization. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish the church to limit the information collected, or to view your Child’s information, please contact the church office.
 
 
By typing your full name above and clicking submit you are electronically giving consent for your child to participate in this program. I have read, understood and agree with above and sign it to cover all Youth Program activities for the program year effective as stated below. A separate Informed Letter of Consent will be sent home for activities of elevated risk.

Description

Hi Parents,
It's important for us to have up-to-date information so we can confidently care for your son or daughter at each youth event. Thank you for trusting us with your child, we don't take this opportunity lightly and will try our best to ensure your son or daughter has a phenomenal experience at each event.
___________
-Steve Bock
call/text 204.298.7447