Registration for Children

Registration for Children Birth to 5th Grade

* Indicates required field

Name *

First

Last

Date of birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent(s)/Guardian(s) Name(s) *

Best phone for contact *

Email(s) *

Emergency contact information (A parent/guardian is expected to be on church property when a child is in class and worship) *

Allergies or other concerns *

Anything we should be aware of with working with your child? *

Opportunities for your child (check all that apply) *

Acolyte (5th grade and older) Welcome Team on Sundays None of the above at this time

Photo/Video Release Form

I hereby grant St. Anthony on the Desert Episcopal Church permission to use my likeness in a photograph or video in any and all of its publications, including website entries and social media, without payment or any other consideration.

I understand and agree that these materials will become the property of St. Anthony and will not be returned. I hereby irrevocably authorize St. Anthony to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing St. Anthony’s programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears.

Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph. I hereby hold harmless and release and forever discharge St. Anthony from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

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Registration for ​Children Birth to 5th Grade

Photo/Video Release Form

Registration for Children Birth to 5th Grade