Contact

Katie Conaway
Knollwood Community Church
703-425-2068 Ext. 28
katie@knoll.org

Knollwood Student Ministry Registration

Registration for Student Ministry Programs in 2019-2020

* Required information

PARENT/GUARDIAN INFORMATION:

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Student Information

You may add a maximum of 10

EMERGENCY CONTACT INFORMATION:

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MEDICAL and PHOTO RELEASE STATEMENTS:

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    I give my permission for the Student Ministry staff to administer basic first aid to my child(ren) named above in the event of an injury. I understand that the Student Ministry staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me.

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    I understand that pictures will be taken periodically throughout Knollwood Student Ministry activities. I give permission for my child to be included in these photographs. I understand that these photos may be published in promotional materials (for example, slideshow during worship service, or put on our website or Facebook page).



Register