Discovery Hour Jr.
Join us as we explore the BIble with Whirl Lectionary curriculum! We will meet at 10:00am - 10:50am each Sunday. PreK to 1st graders will meet in the Beck Room and 2nd graders and older will meet in the Hutchinson Room.
Student's Name
Your answer
Student's Birthdate
MM
/
DD
/
YYYY
Student's Grade
Student's School
Your answer
Does your student have any allergies or special medical needs?
Your answer
Parent's Name
Your answer
Parent's Email
Your answer
Parent's Cell Phone Number
Your answer
Media and Medical Release
By voluntarily allowing your children to participate in a St. Thomas' event, group or activity, the participant's guardian is giving permission for the participant's photo and video images to be used in St. Thomas' publications, print and online, unless St. Thomas' is given written request to the contrary.

In accordance with the permission I am granting, I hereby agree to indemnify and hold St. Thomas' Church, Whitemarsh, its employees and agents harmless from any and all liability as a result of being injured while participating in said activity. I hereby accept any and all responsibility for and assume the risk of any and all injury or damage to my person or dependent children that might arise directly or indirectly as a result of, and a participation in any St. Thomas' Church, Whitemarsh activities. I hereby expressly release discharge and hold harmless from any liability whatsoever St. Thomas' Church, Whitemarsh, all employees, volunteers and agents in their capacities as representatives of St. Thomas' Church, Whitemarsh. I certify I am familiar with the contents of this release. I have read and understand and it is my intention that by signing this that the same be binding on me and my heirs, administrators, executors, and assignees.

Parent's Signature
Your answer
Today's Date
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms