Ss Nicholas, Constantine & Helen Greek Orthodox Church

80 Laurel Avenue, Roseland, New Jersey 07068
(973) 251-2920 / info@gcrmail.org / www.greekchurchroseland.org

2024 - 2025 H.O.P.E. / J.O.Y. Registration Form

HOPE/JOY is a program geared towards children from Pre-K to Grade 6. Meetings will include activities such as games, crafts, and free time, all while learning about being a good Orthodox Christian and connecting with other Greek Orthodox youth. Please complete one form per child.

Child's First Name: *

Child's Last Name: *

Date of Birth: *

Age: *

Parent / Guardian's Names: *

Street Address *

City *

State: *

Zip Code *

Phone Number *

Email Address

Emergency Contact Name: *

Home Phone:

Cell Phone:

Does your child have any medical conditions, food allergies, or special needs that we should be made aware of? *

Yes

If yes, please explain:

Please check one or more of the following areas in which you can help:

Waiver of Liability

Waiver of Liability:
I give my children permission to participate in the HOPE/JOY Youth Group of Saints Nicholas, Constantine & Helen Greek Orthodox Church. I waive the right to any legal action against the directors, the Church, and Youth Group for any injury sustained as a result of my children’s participation in these programs. I understand that I am enrolling my children in a program that may involved physical activity (including but not limited to playgrounds, jumping on moonbounce, and playing sports) and have agreed that my children are in good physical condition and do not suffer from any disability, including but not limited to any allergy, which would limit their participation in these programs.

Medical Release
I give permission for any and all emergency medical attention to be administered to my children in the event of an accident, injury or sickness as deemed appropriate until such time as I may be contacted. I also assume the responsibility of payment of any such treatment.

Photo Release
I give full rights to HOPE/JOY and its directors to use photos and video images of my children and me to use for promotional purposes. Photos and videos may be displayed in the church building or used in brochures, websites, social media, advertisements, and other promotional material created by the HOPE/JOY ministries.

I HAVE READ, UNDERSTAND AND AGREE TO THE ABOVE STATED WAIVER OF LIABILITY, MEDICAL RELEASE AND PHOTO RELEASE. I FURTHER UNDERSTAND THAT THERE MUST BE A DESIGNATED RESPONSIBLE ADULT WITH EACH CHILD AT ALL HOPE/JOY MEETINGS AND ACTIVITIES.

By checking this box you agree with the Waiver of Liability *

Agree

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