First, tell us about yourself:

Parent Information

Releases

Medical

In the case of a medical emergency, I give permission to have my child evaluated and treated by qualified medical personnel. I understand that every attempt will be made to notify me/others identified by the information provided by me on this document in such an event. The adults in charge have my permission to authorize any further medical care, which in their judgment, they deem necessary, and to sign any medical forms necessary on my child's behalf. This form is good for one year from the date below and will be kept on file.

Media 

In the course of youth activities, media may be used by St. Martin's, diocesan staff. I give Church of St. Martin-in-the-Fields the right and permission to publish, copyright, and use any and all pictures taken of the participant(s) named below.



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You can use this form to register for the Kairos faith formation program, Treble Choir, or both. Please check all that you are registering for.

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