Confirmation Permission Slip 2021-2022

Please fill out this form and click submit.
This information will be kept on file for the 2021-22 school year. Please notify us if any of your information changes.


If you'd rather fill out a physical copy, i.e., a PDF print out, click here to go directly to our Confirmation webpage. Scroll down to the section called Resources and click on Forms (Downloadable). Make your selection from the list of forms. Send your completed (physical) form to the church office or email a scanned version to lori@foxpointchurch.org.


Thank you!
 
 
 
Please select one option.
Hereby give my approval to his/her participation in any and all activities of Fox Point Lutheran Church during the period of September 1, 2021 through August 31, 2022. I assume all risks and hazards incidental to such participation, including transportation to and from activities. I do hereby waive, release, absolve, and indemnify the church, its servants, and participants, as well as transporting the above named child to and from related activities, for any injury or action resulting in a medical claim. I also give the physician/hospital selected by the program supervisor permission to secure proper treatment for my child, should it become necessary. I also assume responsibility of all medical expenses incurred. Should it be necessary for my child to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs.
 
 
 
 
 
 
 
Insurance

 
 
 
 
 
 
 
 
 
 
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Approval

 

Description

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