Where

Good Shepherd Lutheran Church

1440 E. Military Avenue
Fremont, NE 68025

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Contact

Remkea Ockander
Good Shepherd Lutheran Church
402-721-8412
rockander@gslcfremont.org

Wild About Jesus Wednesdays 2019

Children ages Pre K - 5th grade will learn Bible lessons, sing joyful songs, have fun with various Bible lesson activities and creative time. Parents come in and check in your child and stick around for some parent hang out time. Join us scheduled Wednesdays 6:15 p.m. - 7:30 p.m.

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CHILD INFORMATION:

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    Gender:

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    Grade

PARENT GUARDIAN INFORMATION

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    Student Lives with:

HEALTH INFORMATION

  • The following information is to alert us as to any pre-existing conditions, this information is and will remain COMPLETELY CONFIDENTIAL!

Additional Children: Information

You may add a maximum of 10

EMERGENCY CONTACT & PICK UP PERMISSION

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PERMISSION:

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    INDEMNIFICATION BY PARENT OR GUARDIAN OF CHILD:

  • I hereby give my minor child named on this registration permission to participate in Wild About Jesus Wednesdays at Good Shepherd Lutheran Church. In consideration of my child being allowed to participate in such activity, I hereby release and agree to indemnify hold harmless Good Shepherd Lutheran Church, its board of leadership, representatives, employees and agents from any and all liability, debts, claims, demands, actions, damages, judgments, or suits of any kind which may arise or occur as a result of my child's participation in the activity described above.

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    MEDIA RELEASE

  • I hereby give permission to Good Shepherd Lutheran Church to publish my child's photograph, images or videos of my child in any of Good Shepherd Lutheran Church's media-based productions for various promotional, educational, informational, or presentational purposes. And understand I will not be given creative license nor compensated.

  • Are you members of Good Shepherd?


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