Youth Sunday School Registration Form Child's Name:* First Last Child's Nickname (if Applicable):Parent or Guardian Name:* First Last Parent or Guardian Name: First Last Child's Date of Birth:* Grade in school:Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Preferred Method of Communication:CallTextEmailPlease list any allergies or other conditions we should be aware of (food reactions, physical challenges, ADD/ADHD, etc.):Emergency Contact Name:* First Last Phone # for Emergency Contact:*Comments:Because we love taking pictures at Holy Comforter, we need your permission to photograph your child. I grant to the Church of the Holy Comforter and the Episcopal Diocese of MD, its representatives and employees, the right to take photographs of my child and my property. I authorize CHC and the Diocese, its assignees and transferees the right to copyright, use and publish the same in print and/or electronically. I agree that such photographs of my child may be used with or without their first name and for any lawful purpose, including such purposes as publicity, illustration, advertising, Web content, etc. I have read and understand the above.* Yes- I agree No- I do not agree Signature of Parent or Guardian*Date* This iframe contains the logic required to handle Ajax powered Gravity Forms.