SAINT PARASKEVI SUNDAY SCHOOL REGISTRATION

Student's information

First Child

Name *

Date of Birth *

Sunday School Grade *

If student is in 7th - 12th grade, provide student email address.

Second Child

Name

Date of Birth

Sunday School Grade

If student is in 7th - 12th grade, provide student email address.

Third Child

Name

Date of Birth

Sunday School Grade

If student is in 7th - 12th grade, provide student email address.

Fourth Child

Name

Date of Birth

Sunday School Grade

If student is in 7th - 12th grade, provide student email address.

Payment Information

You can use you credit card to pay online.

If you prefer to mail your payment, indicate by checking the "Payment by mail" box. Then, complete the form and click "next" but do not continue to the Paypal payment when prompted.

Select payment based on how many children you are registering. *

One Child $40

Two or more Children $75

Payment by mail.

Select if paying by check.

Family Contact Information

Father's(Guardian's)Name

Religion

Mother's(Guardian's)Name

Religion

Address *

City *

State *

Zip *

Email *

Home Phone *

Cell Phone *

PLEASE NOTE: You must be a steward to participate in any ministry at St. Paraskevi.

Medical Information

Allergies or medical condition(enter "n/a" if none). *

In the event of an emergency, I hearby authorize the personnel of St. Paraskevi Sunday School to secure treatment for my child.

Print Name *

Date *

COVID-19 Waiver of Liability

COVID-19 has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have in many locations, prohibited the congregation of groups of perople.

The St. Paraskevi Sunday School has put in place protective measures to reduce the spread of COVID-19; however, we cannot guarantee that you or your child(ren) will not become infected with COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and on behalf of myself, my child(ren), my spouse/co-parent of my child(ren) voluntarily assume the risk that my child(ren) and I, and any member of my family, may be exposed to or infected by COVID-19 by attending St. Paraskevi Sunday School, and that exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 while at St. Paraskevi Sunday School may result from the actions, omissions, or negligence of myself and others, including, but not limited to St. Paraskevi Church employees, agents and representatives, volunteers, program participants and their families and/or any other individual who may be present upon church and school property or in atttendance at any church or school activity.

I voluntariy agree to assume, on behalf of myself, my child(ren), and my spouse/co-parent of child(ren) all risks and accept sole responsibility for any injury to my child(ren), myself and any member of my family (including, but not limited to, personal injury, disability and death), illness, damage, loss, claim, liability, or expense, of any kind, that I, my child(ren) and/or members of my family may experience or incur in connection with my child(ren)'s attendance in activities or pariticipation in St. Paraskevi Sunday School ("Claims").

On my behalf, and on behalf of my child(ren) and/or members of my family, I will advance no claim and I hereby release, covenant not to sue, discharge, defend, indemnify and hold harmless St. Paraskevi Greek Orthodox Shrine Church, St. Paraskevi Parish Council, St. Paraskevi Sunday School, and their employees, agents and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating hereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of St. Paraskevi Shrine Church, St. Paraskevi Parish Council, St. Paraskevi Sunday School, their employees, agents and representatives, whethr a COVID-19 infection occurs before, during, or after participation in any Sunday School acitivity, including during the times of arrival and dismissal.

Signature *

clear

Date *