Trinity United Methodist Church - Department of Christian Recreation
Registration Information
TO REGISTER: Advance registration is required for all activities either by mail, fax, or in person. We cannot accept registrations by phone. Registrations are accepted on a first-come first-serve basis. Registrations received after the activity deadline are accepted on a space available only basis. A registration form must be completed for each class.
PAYMENTS: For all activities payment in full is due at the time of registration. Checks should be made payable to Trinity United Methodist Church.
REGISTRATION FORM
Name:_____________________________________________ Male_____ Female_____
Address_______________________________________________________________________
City:______________________________________ State:_________ Zip:__________________
Home Phone:__________________________ Church Affiliation:_________________________
School:_____________________ Birth Date:__________ Age:______ Grade Level:__________
Mother’s Name:___________________________ Work Phone:______________________
Father’s Name:____________________________ Work Phone:______________________
Class/Program registering for:_________________________ Day/Time:_______________
T-Shirt/Jersey Size (circle one) YS YM YL AS AM AL AXL
Insurance Company:_______________________________ Policy Number:_________________
Please list any physical/medical limitations:____________________________________
WAIVER OF LIABILITY AND RELEASE
The undersigned parent/legal guardian acknowledges there are inherent risks involved with the participation in youth sports and other recreational activities and that Trinity United Methodist Church will not be held responsible for any injury that may occur during participation in these activities. The undersigned acknowledges that his/her child’s participation is voluntary and on his/her own behalf and on behalf of the child and the child’s heirs and legal representatives does hereby release Trinity United Methodist Church and its employees, agents and contractors from any claims for injury, death, loss or other damages that may occur as a result of participation and agrees and covenants not to commence or prosecute any claim or cause of action based on any matter constituting a released claim.
PARENT/GUARDIAN______________________________________DATE________________
I can help as a : coach team parent referee
(please circle)