Registration for Children's Spiritual Education (YFM)

Adults and Child/Children information

Adult #1 Name

Relationship to Child/Children

Parent Grandparent Guardian Other

This address will receive a confirmation email

Cell Phone

Address

Name Adult #2

Relationship to Child/Children Parent Grandparent Gaurdian Other

Cell Phone

Address- if different than adult #1

Name Child #1

Child #1 Birthday

Child #1 Special Needs, Dietary Restrictions, Allergies or other information

Name Child #2

Child #2 Birthday

Child #2 Special Needs, Dietary Restrictions, Allergies or other information

Name Child #3

Child #3 Birthday

Child #3 Special needs, Dietary Restrictions, Allergies or other information

Name Child #4

Child #4 Birthday

Child #4 Special needs, Dietary Restrictions, Allergies or other information

Photography Release and Assignment- Unity Columbine Spiritual Center

I understand that my child might be photographed as a member of a group, as a Youth Ministry participant, or in a voluntary photograph. I hereby assign all of my rights, title and interest in and to any photographs and videotape images to the Church. I grant the Church and its representatives permission to use, without compensation or restriction, photographs and videotape images (from all Unity events) in which the participant appears, in any manner whatsoever as such as, but not limited to: publication, display, advertising, slide shows, etc.I specifically authorize the Church to reproduce, publish, and distribute copies of said photographs or videotape images, as well as authorize the Church to submit said photographs for publication by the Regional Association of Unity Churches and the Association of Unity Churches International. I understand that no compensation for efforts or participation of the above named participant is promised or implied. I do hereby release to the Church, The Regional Association of Unity Churches and the Association of Unity Churches International any and all interest in and to any proceeds from the sale or production of photographic or videotape reproductions. PLEASE TYPE YOUR NAME IN THE SPACE BELOW AS ACCEPTANCE

Comments or Questions?

Description

Please fill out this form and click Submit.

Our Columbine Youth program meets during the 10am service on Sundays!

Rev. Jeanne Oliver is the Director of Youth and Family Ministry:

jeanne@columbineunity.org

Registration for Children's Spiritual Education (YFM)

Description

Please Fix the Following