GodSquadRegistration

God Squad Registration Form

* Indicates required field

Child's Name *

First

Last

Child's Age *

Child's Birthday *

Grade: 2018-19 School Year *

Girl or Boy *

Girl Boy

School Attended *

Address *

City & State *

Zip Code *

Parent/Guardian Phone *

Parent/Guardian Email *

Emergency Contacts
(Please list in order that you prefer we call)

1. Emergency Contact Name *

Relationship to child *

Cell Phone Number *

Home/Work Number *

2. Emergency Contact Name *

Relationship to Child *

Cell Phone Number *

Home/Work Number *

List Allergies/Medical Conditions (Please be as specific as possible) *

Notes for Ministry Directors: Any other information we should be aware of? *

Permission To Use Photographs

I grant Resurrection Lutheran Church (RLC) the right to take photos of me and my family in connection with Got Squad Ministry Events. I authorize RLC its assigns and transferees to copyright, use and publish the same in print and electronically. i agree that RLC may sue such photos of me with or without my name and for any lawful purpose, including such purposes as publicity, illustration, advertising, and web content.

I have read and understood the above and give permission for myself and the children listed above.

Parent/Guardian Name *

First

Last

Submit