CONNECT MINISTRY REGISTRATION (4th & 5th Grade) 2024-2025

Welcome to Crown of Glory's Connect Ministry Registration.  Please complete each field throughout this document.  If you have any questions or concerns please contact Pastor Reggie at pastorreggie@crownofglory.org 

CHILD INFORMATION
Please select
Please select
HEALTH INFORMATION
LIABILITY INFORMATION
Release of Liability
I agree that Crown of Glory Lutheran Church, staff members, and the Connect guides are not responsible for accidental injuries that occur during my child(ren)'s time at church or at a church related event or function.  I agree and hereby authorize such medical treatment as is necessary and such additional procedures as are considered necessary on the basis of finding during the course of medical examination.
By submitting this form I hereby acknowledge that I have read and fully understood the above statements.
MEDIA WAIVER
I understand my child(ren) and I may be photographed during Crown of Glory activities and events, and these images may be included in Crown of Glory publications and social media sites. No child's name will be included with their photo without parental consent.
PARENT/GUARDIAN INFORMATION
VOLUNTEER OPPORTUNITIES
PAYMENT INFORMATION
A registration fee of $40/child is recommended for Connect. If the fee is a hardship please contact Pastor Reggie Klindworth: pastorreggie@crownofglory.org or
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