First, tell us about yourself:

Parent Information



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.


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.

By checking the box you will be emailed your Free Buddies Ebook Pack.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Roar VBS and other faith-building resources. Click to learn more about Lifetree.

Tell us about your participant:

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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