Parent's/Guardian's Name

First Name

Last Name

Parent's/Guardian's Email

Parent's/Guardian's Phone

(###)

###

####

Second Parent's/Guardian's Name

First Name

Last Name

Second Parent's/Guardian's Email

Second Parent's/Guardian's Phone

(###)

###

####

Home church if other than St. Paul's:

Media Release

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 the Church for which I am registering. 2. Use of any stored data including my (or my child’s) image in printed publications of the Church. 3. Use of any stored data including my (or my child’s) image in electronic publications or social media accounts of the Church. 4. Use of any stored data including my (or my child’s) image in any Web site created by or for Church. 5. Storage of my (or my child’s) name in association with any image, but not permission to use such images in any public setting unless I specifically authorize Church to do so. 6. If 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. 7. 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

agree

disagree

I give my permission for St. Paul' Faith Formation staff to text or contact us regarding upcoming events for church.

Yes

First Child's Name:

First Name

Last Name

First Child's Grade for the 2025-2026 year:

First Child's Age:

First Child's Allergies:

Second Child's Name:

Second Child's Grade for the 2025-2026 year:

Second Child's Age:

Second Child's Allergies:

Third Child's Name:

Third Child's Grade for the 2025-2026 year:

Third Child's Age:

Third Child's Allergies:

Fourth Child's Name:

Fourth Child's Grade for 2025-2026 year:

Fourth Child's Age:

Fourth Child's Allergies:

VBS 2025