Please Complete One Form for Each Child You are Reigstering

Child's Name *
Child's Name
Address *
Address
Are you comfortable with our staff providing your child a snack of Goldfish and water? *
My child is: *
Are you comfortable with the staff applying any diaper cream/lotion I might provide in my child's diaper bag, should staff feel such treatment is warranted?

Holy Comforter Episcopal Church may take photographs and/or video of its members or program participants for use in print or electronic media prepared by the Church, including media to promote activities and events sponsored by the Church. However, the Church will not identify the people in those images or video by name unless separate permission is expressly granted in advance. By completing this registration form, you are granting consent for use by the Church of images and/or video recordings of yourself and your minor children participating in Church activities. You can opt out or revoke this consent by notifying the Church office in writing. Any revocation of this consent will apply to any new media published by the Church after that date, but not media already printed or published.