JAM Registration

JAM meets Wednesdays from 4pm-5:30pm beginning September 20th.

Jam (Jesus and Me)

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Youth's First name*

Youth's Last name*

Youth's Birthday*

Age*

Grade*

Email*

Address*

Phone number*

Cell Number

Emergency Information

In case parent cannot be reached:

Parent/Gaurdian name*

Phone Number*

Cell Number

Relationship to Child*

Medical Section

SPECIAL MEDICAL OR ALLERGY INFORMATION that the church should know about:

Agreement and Release of Liability:

I hereby allow the release of photographs produced by the church to be used for church-related purposes and publicity. As legal guardian of the minor who participates in church programs, I accept unto myself all responsibility and all liability for any injury or loss or damage that occurs to me and/or to the minor as a result of the minor’s participation in church programs. I will indemnify and hold harmless the ELCA, Holy Trinity Lutheran Church and its agents from all claims, judgments, and costs incurred with any action that may be brought as a result of the minor’s participation in church programs. I understand and agree to these terms:

Parent/Guardian:*

Date*

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Phone

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This is Christ’s Church, and there’s a place for you here.

Here at Holy Trinity, we believe that we all need healing, and to be made whole through the love of God.

We are excited to grow as a congregation, and invite you to join us as we do God’s work in Christ’s name for the life of the world.

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Stay up-to-date with all of our events, announcements, and everything in-between!

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