Mornings with Mommy Winter/Spring Registration
Parent/Guardian's Name *
Your answer
Child(ren)'s Name(s) *
Your answer
Child(ren)'s Age(s) *
Required
Phone Number *
Your answer
Email Address *
Your answer
Allergy Information/Special Restrictions *
Your answer
Session Dates Attending *
Required
Waiver *
I hereby give my consent as the parent/guardian of the child/ren listed above to attend/participate in the Mornings with Mommy program at St. Andrew’s Lutheran Church at 1000 Portland Ave, St. Paul Park, MN 55071. My child(ren) and I hereby release, indemnify, and hold harmless the church, its employees and/or volunteers from any and all liability from any claim, injury, or loss sustained by or during child’s participation during Mornings with Mommy. I hereby authorize St. Andrew’s Lutheran Church to take and use photography and/or video of my child for crafts, keepsakes, or promotional purposes in any type of media and understand that I will not be compensated for any such use.
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