Sacramento Center Sunday School - Registration Form

Child Information

Gender

SRF techniques received by child:

Does your child have any physical limitations such as allergies, fainting spells, heart conditions, etc, that would prevent participation in normal Sunday School activities?
Has s/he attended other SRF Sunday Schools?

Location

Dates

Location

Dates

If your child has attended SRF Youth Programs, check years below:

Mother/Guardian Information

Father/Guardian Information

Emergency Information

ELECTRONIC SIGNATURE AGREEMENT

By typing your name in the signature blocks that follow and clicking the "submit" button at the bottom, you are signing these consent and release agreements electronically. You agree that typing your full name signature is the legal equivalent of your manual signature on this Agreement. Thank you.      

Sacramento Meditation Center Inc.

 

PARENTAL CONSENT AND RELEASE

 

Consent

 

Consent for Participation in Sunday School/Teen Group Program and Emergency Medical Treatment (by signing below following the “Release” section, you are indicating your consent, which is required if you wish to have your child/teen participate in Sunday School/Teen Program.)

 

We hereby consent to having our child/teen attend and participate fully in Sunday School/Teen Group programs and activities at Sacramento Meditation Center, Inc.  We understand that the programs and activities may on occasion include young adults over eighteen years of age.  We also consent to having Sacramento Center Sunday School/Teen Group volunteer staff secure medical treatment for our child/teen in case of emergency and there is insufficient time to contact us or we cannot be reached.  This release specifically allows Sacramento Center personnel to remove my/our child/teen from the property to a safe location nearby in the event of fire or other emergency, and for my/our child/teen to be taken to such safe location for participation in occasional fire/emergency drills. 

 

Release

 

In consideration for our child’s/teen’s participation in Sunday School/Teen Group at the Sacramento Center, we hereby agree to release and hold Sacramento Center volunteers harmless from any and all liabilities, claims, damages, costs, actions, causes of actions, demands, and losses arising out of or in any way related to our child’s/teen’s participation in Sunday School/Teen Group programs and activities, and (to the extent consent for the taking and use of videotapes and photographs is given) the taking and use of any videotapes and/or photos of our child/teen, and/or the use of verbal/written statements given by our child/teen for such purposes as determined appropriate by Sacramento Center.

 

Signature

 

Please note that the signatures of both parents are required for the consent and release to be valid.  If you are a single parent, only your signature is required.  Divorced parents are both required to sign unless one parent lives out of state or the parent signing has legal authority to sign on behalf of both parents.  Any consent returned with only one signature constitutes your representation, upon which we can rely, that you have the legal authority to sign on behalf of your child alone.  Unless and until Sacramento Center has been notified of any changes in family or marital status, we shall rely on this consent.  Thank you.

Sacramento Meditation Center Inc.

 

VIDEOTAPE/PHOTO CONSENT AND RELEASE

 

 

Consent to Videotaping and Taking of Photographs and Use of Same.  Please check “yes” or “no” below to indicate whether you consent.  Your consent is required if you wish to have your child/teen take part in the photo or video.  If you check no on this form, then you are indicating that you do not want your child/teen to be in the video/photo.

 

In consideration for the opportunity provided to our child/teen to participate in Sunday School/Teen Group program and activities at Sacramento Meditation Center, Inc, we hereby give to Sacramento Center our consent to take any and all of the following actions, without the right to prior inspection or approval, and we release Sacramento Center and its volunteers and hold them harmless from all damages, losses, claims, liabilities, demands, costs, and actions arising from Sacramento Center taking and use of any videotapes and/or photos of our child/teen, and/or the use of verbal/written statements given by our child/teen for such purposes as determined appropriate by Sacramento Center.

 

  • To videotape and/or take photographs of our child/teen, alone or with others, participating in Sunday School/Teen Group activities at or sponsored by the Sacramento Center and

  • To use and reuse such videotapes and/or photographs, in whole or in part, modified or altered, either by themselves or in conjunction with other photographs, in any medium or form of distribution, including but not limited to the Sacramento Center website, for purposes related to Sunday School/Teen Group and for any other purposes deemed appropriate by Sacramento Center, and

  • To use our child’s/teen’s verbal and written statements of a spiritual nature to encourage others on the spiritual path and for any other purposes as deemed appropriate by Sacramento Center.

  • To copyright such videotapes and/or photographs in Sacramento Center's name or in any other name the Center chooses.

Do you give your consent?

Please sign whether you answered "Yes" or "No".

Any field still requiring input is highlighted in red.