Children's Programming Permission Form
Complete this permission form to enroll your children in Godly Play & Youth Ministries.
Email address *
Child's Full Name *
Your answer
Child's Birthday *
MM
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DD
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Age & Grade in School *
Your answer
Parent's Full Name(s) *
Your answer
Parent's cell# *
Your answer
Primary email & whose? *
Your answer
May we send Trinity Episcopal Cathedral family newsletters and email updates to this email? *
Secondary email & whose? *
Your answer
May we send Trinity Episcopal Cathedral family newsletters and email updates to this email?
Custodial arrangements (if any) *
Your answer
Street address *
Your answer
I give permission for my child to be photographed participating in Trinity events with the understanding that the photos will not be posted with my child's name beyond the parish without additional permission. *
In the event of an emergency, if I cannot be contacted, I hereby authorize emergency treatment to be administered.
Second emergency contact *
Your answer
All known allergies or medical conditions of which we should be aware? (please explain) *
Your answer
Any known learning differences of which we should be aware? (please explain) *
Your answer
Is there anything you would like us to know about your child(ren) and family? *
Your answer
Would you like to be contacted by our staff? *
Signature of parent/guardian *
Your answer
Date of signature *
MM
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DD
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YYYY
Submit
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