CREW REGISTRATION 23-24

CREW REGISTRATION 2024-2025

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Participant's Name

First

Last

Participant's Age

Participant's Birthdate

Participant's Gender

Male
Female

2024-2023 Grade School Year

Participant's Phone Number (if applicable)

We send out weekly text reminders for our program. If you wish for us to contact your child provide their number above.

T-Shirt Size

Allergies/Medical Concerns etc.

Special Requests or Other Helpful Information

Street Address

City, State, Zip

Parent/Guardian Name

First

Last

Parent/Guardian Phone Number

Parent/Guardian Email

Alternate Emergency Contact

First

Last

Alternate Emergency Phone Number

I give the above participant permission to participate in CREW at Pratt Presbyterian Church for the year 2024-2025. I authorize Pratt Presbyterian Church to use photos, videotapes, and other likenesses of said participant for social media and/or promotional materials regarding Pratt Presbyterian Church programs, facilities, or services.

Rides can be available, upon request, to and from Wednesday night CREW. By selecting "yes", I give permission for a Church volunteer to pick-up and/or take home the above mentioned participant.

Yes
No, I will provide transportation

Once a month CREW sponsors an activity night, some activities require transportation from Church after the 5:30 guardian drop-off. By selecting "yes", I as legal guardian give permission for the above participant to be transported by a Pratt Presbyterian Church volunteer (over the age of 22), to said activities. I understand that the participant and driver are expected to follow all applicable laws regarding riding in a motor vehicle. (copy)

I certify that I am the parent/legal guardian of the aforementioned participant and have the ability to grant/deny permission to participate in CREW at the Pratt Presbyterian Church for the 2024-2025 school year.

Full Name

Date