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The Eliot Church of Newton Sunday School Registration 2018-2019
We are so glad to welcome your child to our Christian Education Program!
Student's Last Name *
Your answer
Student's First Name *
Your answer
Home Address
Your answer
Preferred Phone Number for Routine Contact *
Your answer
Parent/Guardian Name: *
Your answer
Parent/Guardian Email Address: *
Your answer
Send weekly Sunday School Updates by email to this address? *
Emergency Contact Number *
Your answer
Second Parent/Guardian Name:
Your answer
Second Parent/Guardian Email Address:
Your answer
Send weekly Sunday School Updates by email to this address?
Student's Age in September 2018 *
Your answer
Student's grade as of September 2018
(Toddler; Pre-School; Pre-K; K, 1....12)
Your answer
What School does your child attend, if applicable?
Your answer
Outside play in Farlow or Chaffin Park *
On occasion our activities may include exploring the park adjacent park.
Special Needs or Concerns
Please list all allergies, and other conditions of which we should be aware.
Your answer
Interests and Learning Style
Please tell us a bit about your child's interests and learning style.
Your answer
How would you like to get involved in the Christian Education Program *
The Safe Church Policy of the Eliot Church of Newton is available on the church website and on paper I the church office. I have had the opportunity to review the Safe Church policy.
What gifts might you offer to our Sunday School?
(e.g. music, crafts, cooking, special activities)
Your answer
Signature *
Photograph Release *
May we use photos of you and your child in Eliot publications, website, or social media? * (No names or idenfication will be used. Please read full release text below.)
Full text of Photograph Release
I hereby grant permission to the Eliot Church of Newton, Massachusetts to use my photograph on its World Wide Web site, social media such as Facebook or in other official Church printed publications without further consideration, and I acknowledge the Church's right to crop or treat the photograph at its discretion. I understand that the Church will use my photograph only, without my name. I acknowledge that the Church may choose not to use my photo at this time, but may do so at its own discretion at a later date. I also understand that if my image is posted on Eliot's website or it's Social Media page, the image can be downloaded by any computer user. I agree to release Eliot Church, its staff, volunteers and assigns from any and all claims, actions and liability relating to its use of said photographs.

I am at least 18 years of age and competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.

Name (Please Print):
Name(s) of Dependents (if applicable)

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