Family Registration Information
Please include photocopy (front & back) of insurance card
INSURANCE CARRIER: (required)
POLICY # (required)
I certify that I am the legal guardian of registered child(ren) and have full legal authority to enter into this agreement and hereby intend by signature to release me and my children of all liability against the Church parties to the fullest extent permitted by applicable law.
I give the following person permission to transport my child(ren) to/from Church classes and events