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Redeemer Youth Registration and Permission Form
This authorization is valid from August 27, 2017 - August 31, 2018
Redeemer Lutheran Church, 1545 Chain Bridge Rd, McLean, VA 22101
Contact us at 703-356-3346
Preschool - age 3
Preschool - age 4
Preschool - age 5
Best email address(es) to use
Emergency Contact (name, relationship, phone)
Permission to participate in youth activities: I hereby grant permission for my child to participate in Redeemer Youth Ministry activities under the supervision of adult chaperones. I understand my child may engage in physical activities with risk of injury.
Permission for Emergency Medical Treatment: In the event that I cannot give authorization in person, I hereby authorize an adult chaperone from Redeemer Lutheran Church to seek emergency medical treatment for my child.
Permission for Photography: I give permission for my child's picture to be placed on Redeemer's website.
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