St. Andrew Lutheran Church
Tuesday, October 20, 2020
Jesus Calls Us…Come and See! Come and Grow! Come and Serve!

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Youth Information Form


To complete the online Youth Information Form, follow these steps.
1.  Read the two POLICY STATEMENTS below.  You will be asked on the form whether you have read and agree to the POLICY STATEMENTS.
2.  Click 'Click here to load Google form' at the bottom of this page.
I give permission for my child/children (listed on this form) to participate in youth activities sponsored by St. Andrew Lutheran Church (both onsite and offsite) for the year of June 1, 2017-June 15, 2018.
I hereby release St. Andrew Lutheran Congregation, its staff, and volunteer leaders from all responsibility and liability for any injury or illness that my child/children may sustain during youth activities.
In the event of an emergency, I hereby authorize an adult leader of the activity, as an agent for me, to consent to any medical or dental examination and diagnosis as advised by a licensed medical practitioner.
I/we will assume financial responsibility for any and all medical procedures performed with consent of the agent of St. Andrew Lutheran Church. I will be contacted as soon as possible regarding the medical emergency.
I hereby give St. Andrew Lutheran Church the perpetual, royalty-free right to use my child's photo(s) in any manner, whether combined with other photos or text, in posters, congregational bulletin inserts, or on websites or social media.
I understand that websites and publications have a large audience and that my child's photo will be available to the public generally.  I further understand that St. Andrew Lutheran Church assumes no liability or responsibility whatsoever concerning any consequences of such use, and that there will be no financial compensation for the use of such photo(s).
After you have read the above statements, Click here to load Google form.