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Trinity Children & Families Enrollment Form Registration

2024–2025 School Year

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CHILD’S INFORMATION

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CHILD’S INFORMATION — Pre-K–5th grade

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CHILD’S INFORMATION – Infant-Toddler

PARENT/GUARDIAN  INFORMATION

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PARENT/GUARDIAN 2 (Optional)

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EMERGENCY CONTACT INFORMATION

In cases of emergencies, parent/guardian 1 is the default contact. Please list additional emergency contacts.

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IF CHILD’S ADDRESS IS DIFFERENT THAN THE PARENT/GUARDIAN ADDRESS, PLEASE RECORD BELOW

Authorized Pick Up/ Emergency Contacts

If anyone else will be picking up your child, it is imperative that you notify the program office or your child’s teachers in writing, on or before the day of occurrence. Trinity Children’s Programs shall not release a child to anyone who is not authorized in writing to pick up and who does not have official picture identification. No child will be released to any person younger than 16 years of age.

The following person(s) is 16 or older and will be allowed to pick up my child from Trinity children’s programs:

Contact #1

Contact #2

Contact #3

Name of persons PROHIBITED from picking up your child:

TRINITY ACTIVITIES PERMISSION, ASSUMPTION OF RISK,WAIVER OF LIABILITY, AND MEDIA RELEASE

In consideration of the benefits received from participating in in-person meetings and activities (which may include travel) (“Trinity Activities”) sponsored by The Rector, Church-Wardens, and Vestrymen of Trinity Church in the city of New-York d/b/a Trinity Church NYC, including its clergy, wardens, vestry, officers, employees, members, lay leaders, volunteers, independent contractors, agents, and all other persons or entities associated with it (“Trinity”), I, on behalf of myself, and on behalf of the minor or minors listed below who is participating in Trinity Activities and for whom I have the capacity as parent or legal guardian (each, a “Minor”), acknowledge and agree as follows:

Assumption of Risks: Participating in Trinity Activities may have inherent risks, hazards, and dangers, and may result in accidents, injuries, property damage, illness, disability, or death. Trinity Activities may occur indoors or outdoors and may require physical exertion, including but not limited to the use of weights and cardiovascular equipment, stretching, and other activities and equipment related to strength and endurance training. Persons leading Trinity Activities may be unpaid volunteers and not professional guides or leaders. I, on behalf of myself, and on behalf of Minor, affirm that we are participating voluntarily in Trinity Activities with knowledge of the risks involved, and I, on behalf of myself, and on behalf of Minor, take responsibility for having appropriate skills, equipment, supplies, and physical conditioning to engage in the specific Trinity Activities. By traveling to and participating in inperson Trinity Activities, I, on behalf of myself, and on behalf of Minor, voluntarily assume the risks and agree to accept sole responsibility for any injury, illness, personal or property damage, loss, claim, liability, or expense of any kind, including but not limited to, those resulting in/from disability or death, from acts of God (including climatic and seismic events), armed conflict, pandemics, and/or exposure to or infection with COVID19 (“Claims”), that I or Minor may experience or incur in connection with my or Minor’s participation in Trinity Activities. I understand that the risk becoming exposed to or infected by COVID19 in connection with my or Minor’s participation in Trinity Activities may result from the actions, omissions, or negligence of others, including but not limited to Trinity employees and other guests.

I, on behalf of myself, and on behalf of Minor, hereby release, covenant not to sue, discharge, indemnify, and hold harmless Trinity (as defined in this waiver) from the Claims, including all liabilities, claims, actions, damages, costs, or expenses of any kind arising out of or relating to such Claims.

I certify that I have the capacity to contract in my own name and as parent or legal guardian for Minor listed below and I agree that the release is binding on me, my heirs, representatives, and assigns, as well as the heirs, family, estate, representatives, and assigns of Minor. This release shall be interpreted and controlled according to the laws of the State of New York.

This form is my global permission for myself and Minor to participate in Trinity Activities, and my permission will be effective from the date below through the end of the applicable Trinity Activity unless I withdraw it in writing before that time. I HAVE READ AND UNDERSTAND THIS DOCUMENT AND, I, ON BEHALF OF MYSELF, AND ON BEHALF OF MINOR, VOLUNTARILY AGREE TO ITS TERMS.

Trinity Activity: Trinity Children, Youth, and Family, August 2024 – August 2025

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