Family Dedication WINTER
Please watch the class prep video
to completing your registration.
Please fill in your information on the form below.
BE SURE TO HAVE THE SECOND PARENT REGISTER AS WELL, IF APPLICABLE.
The information for your child(ren) will be completed on the next form.
Based on your answers below, the Marriage and Parenting pastor may reach out to you to schedule a meeting to discuss how this Family Dedication experience will best serve you and your family.
Address 2 (Apt/Suite # etc.)
* How many people will be attending?
* Please list the name of your small group or connection community leader(s)
* Describe when and how you began your spiritual journey with God.
* I hereby understand and consent to each of the following:
Use and storage of my name and image, by means of digital or film photography, video photography, audio recording or other documentation, with respect to all events, activities, worship services and/o
Use of any stored data including my name and image in printed publications of Pathway Community Church.
Use of any stored data including my name and image in electronic publications of Pathway Community Church.
Use of any stored data including my name and image in any Web site created by or for Pathway Community Church for its sole benefit.
I am signing this agreement on behalf of a minor child, I hereby warrant that I am the legal parent or guardian of the child and that I have the authority to sign this document on behalf of the child.
If a dispute over this agreement or any claim for damages arises, I agree to resolve the matter through a mutually acceptable alternative dispute resolution process. If I cannot agree with Pathway Com
* By entering your full name, you agree to the information above and you agree that all information provided on this registration is true and accurate to the best of your knowledge.
* Today's date
- Please be sure to register the second parent, if applicable, by selecting "Add Another Parent/Guardian" below
Add Another Parent/Guardian
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