Salem Lutheran 2019-2020 Sunday School Registration (PreK- 8th grade)

9615 Pioneer Trail, Greenfield, MN 2018
Email address *
Name of Parent(s) *
Your answer
Street address (Please include city, state & zip code) *
Your answer
Cell Phone # *
Your answer
Emergency Contact (first & last name) *
Your answer
Emergency Contact's phone number *
Your answer
Emergency Contact's relationship to your family *
Your answer
Medical Release (for all of your children attending Sunday School): I give my permission for the Sunday School staff to administer basic first aid to my child(ren) in the event of an injury. I understand that the Sunday School staff will contact emergency services in the event of a significant injury and all expenses for such emergency will be paid by me. *
Print Media Release (for all of your children attending Sunday School): Salem uses photographs in various print media such as, but not limited to, newsletters, bulletins, posters, promotional materials, bulletin board displays, and class projects. This media use allows Salem to share the events of our church with a wider audience. Please be advised that your child may be included in various photography items at Sunday School and/or Church events. Your child’s name or personal information will not be included. *
Media (website/social media) Release: (for all of your children attending Sunday School) Photography and videos made by Salem may appear on, but are not limited to, public website and social media outlets managed by Salem. This media use allows Salem to share the events of our church with a wider audience. Your child’s name or personal information will not be included. *
I do hereby grant Salem Lutheran Church of Greenfield, MN has my permission as indicated in the previous Media Release questions to use and reproduce any and all photographs and videos. I hereby waive any and all claims to said photography, recordings, and testimonials, as well as any compensations for their use. *
At times others may wish to take pictures and/or video on personal devices. If you choose to do so and share these on personal social media outlets please do not share images, video, or personal information of other students without their parents’ prior knowledge and approval. *
Home Church (Church Name & City)
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