Please list each child's first and last name, age and grade they will enter in September.
Please identify any allergies, health conditions or other conditions you believe we should be aware of for each child.
*If applicable, please list any inhalers or EpiPens as well per child.
I/We hereby give consent for my minor child to participate in the activities at Main Street Alliance Church. I understand that all reasonable safety precautions will be taken by the leaders of this activity and that the possibility of an unforeseen hazard does exist. I further agree not to hold Main Street Alliance Church, its leaders, employees and volunteer staff liable for damages, losses, diseases or injuries incurred by the minor listed on this form.
I/We give permission for Main Street Alliance Church to use our child's photograph on the website, fliers, brochures, or any other publication relative. We realize that our child's first or last name will not be used in such publications.