Recess Registration Form
Every Tuesday from 3-4:30pm | Please fill out this form and click submit.
Parent/Guardian Name
*
Email
*
This address will receive a confirmation email
Phone
*
1st Child's Information
Name
*
Grade
*
Please select one option.
4th
5th
6th
7th
8th
Select Option
4th
5th
6th
7th
8th
Allergies/Special Needs
2nd Child's Information
Name
Grade
Please select one option.
4th
5th
6th
7th
8th
Select Option
4th
5th
6th
7th
8th
Allergies/Special Needs
Dates Attending
*
Please select all that apply.
NOV 17
DEC 1
DEC 8
DEC 15
By selecting YES below, I am giving permission for my/our child(ren) listed above to attend and participate in Recess activities, which will include physical activities and games. On behalf of my/our child(ren), I/we assume the risk and promise to release, forever discharge and hold harmless Monterey Church, it's directors, staff and volunteer leaders from any and all liability for personal injury, sickness and damage to personal or public property which might result from my/our child(ren)'s participation in any and all activities. I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. I further acknowledge that Monterey Church has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that Monterey Church can not guarantee that I will not become infected with the Coronavirus/Covid-19.
*
Please select all that apply.
Yes
Date
*
Submit
Description
Every Tuesday from 3-4:30pm
Please fill out this form and click submit.
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