GRADE5&6 - WEEKEND SERVICE GROUP REGISTRATION

Equip Services Group
PARENT #1

( )   -

I would like to attend Online EQUIP

PARENT #2

( )   -

CHILD #1

Gender

Age/Grade

CHILD #2

Gender

Age/Grade

CHILD #3

Gender

Age/Grade

CHILD #4

Gender

Age/Grade

RELEASE/INFORMED CONSENT AGREEMENT:

I, the parent or guardian named above, agree to and give permission for:

A. The Student named on this form to participate in the Centre Street Church Grade 5&6 Ministry Program ("the Program"), and

B. Staff members of Centre Street Church to authorize any physician or hospital to provide medical assessment, treatment, or procedures for the Student if necessary while the Student is participating in the Program. 

I understand that the personal information in this form is being collected for the purposes of enrolling my Student in the Program, to assign the Student to appropriate classes/groups, to develop and nurture ongoing relationships, and to inform me of program updates and upcoming opportunities in Grade 5&6 Ministry and Centre Street Church via digital and online media and text message. 

Attendance for students involved is collected and stored for all weekend worship services, events, community groups, retreats, and other Grade 5&6 Ministry gatherings when students are participating in the Program. 

I understand that my personal information is protected under the Personal Information Protection Act in the Province of Alberta.  If I have any questions about my personal information, I can contact the Centre Street Church Privacy Officer by emailing privacy@cschurch.ca or calling 403.293.3900

By signing below, I am stating that I have read and understood the statements above. 

I have read and agree to the Informed Consent Agreement

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