This section of the form provides us with information about the Church Kid Participant being being registered. Please complete it to the best of your ability.

We'd like to get to know your child better! Please go through this section together and let us know about their interests or what they'd like to see in our Church Kids Program.

Please let us know if there are any allergies, medical conditions, special needs or identified learning disabilities that we may need to consider in supporting your participant.

This section provides us with family contact information and information in case of emergency. Please complete this to the best of your ability.

If we can't reach the Parent/Guardian contact, who should we call?

St. George's on-the-Hill has a website, social media channels (Facebook, YouTube, Instagram and Twitter) and newsletter where photos and videos from Church & Youth Group events are periodically published.

This waiver grants St. George's on-the-Hill Anglican Church permission to use this Church Kids Participant's likeness in photographs, video, and other media in any and all of its publications, websites or social media channels indicated above. In addition, the right to royalties or other compensation arising or related to the use of the photographs or videos is waived.

Please note that participants, parents and guardians will be notified in advance about the dates and destinations of all trips and activities.

This Church Kids member has my permission to participate in all field trips and activities with the Youth Group at St. George's on-the-Hill for the September 1, 2022 to August 31, 2023 Program Year, unless I specify otherwise verbally or in writing.

I do hereby consent for this youth member to participate as a member in the St. George's on-the-Hill Anglican Church - Church Kids Program. I acknowledge that through participation in regular activities, trips or events there is the possibility of injury due to hazards beyond the control of the St. George’s on-the-Hill Leadership team. In consideration of St. George’s on-The-Hill Anglican Church, the Anglican Diocese of Toronto and the Anglican Diocese of Canada permitting this Church Kids member to participate in this activity. I agree to release and discharge and to indemnify and save harmless the Church and its leadership team, volunteers, representatives and chaperones from and against all claims or proceeding by whomsoever made or brought, in respect of any costs, losses, damage or injury arising by reason of my/their participation in such activities, or by reason of the provision of medical care to me/them.

I certify that my son/daughter is in good physical condition and able to safely participate in all aspects of this program.

I further authorize St. George’s on-The-Hill Anglican Church and its representatives to consent for and obtain such medical care to the person listed above, as it may deem necessary in the event of injury or otherwise, and agree to pay for all expenses incurred thereby.