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St. George's Episcopal Church Free To Be Me Registration 2018
St. George's Episcopal Church Free To Be Me Registration 2018
2018
Back To School Week
Saint George’s Episcopal Church Community Outreach Program
160 U Street, NW, WDC 20001
202-387-6421
202-387-9053 (fax) / churchofc@stgeorgesdc.org
Cooperate with rules and instructions of St. George’s staff in charge of activities. If necessary, I give St. George’s
staff permission to use their judgment in obtaining medical services for any serious injury sustained by my child
during participation in these activities. I give permission to the physician assigned to render medical treatment
deemed necessary and appropriate by the physician. I understand that St. George’s has no insurance covering such
medical or hospital costs incurred and, therefore, any cost incurred for such treatment shall be my sole
responsibility.
ALL PERSONS PARTICIPATING in the “Free To Be Me” Program are deemed to have waived all claims against
St. George’s Episcopal Church and its employees or representatives of the church and/or Diocese for injury,
accident, illness or death occurring as a result of participation in activities of the “Free To Be Me” Program.
Initialize _____
I give consent for the above child(ren) to attend this evening summer camp on the following dates:
Monday, August 27th through Friday, August 31st 2018 from 3:30pm to 7:30pm