CYFM Registration May 2025-July 2026

Adult Name/s

Adult Email/s

Phone

Email or phone for older youth (will always be contacted with a CC to parent or other adult)

Address

Best Sunday morning emergency contact

Infant, Child or Youth #1 Information. Please provide: Name, any medical issues or allergies, special instructions, and anything else we should know.

Birthday and current age

Grade

Infant, Child or Youth #2 Information. Please provide: Name, birthday, grade, any medical issues or allergies, special instructions, and anything else we should know.

Birthday and current age

Grade

Infant, Child or Youth #3 Information. Please provide: Name, birthday, grade, any medical issues or allergies, special instructions, and anything else we should know.

Birthday and current age

Grade

Infant, Child or Youth #4 Information. Please provide: Name, birthday, grade, any medical issues or allergies, special instructions, and anything else we should know.

Birthday and current age

Grade

Infant, Child or Youth #5 Information. Please provide: Name, birthday, grade, any medical issues or allergies, special instructions, and anything else we should know.

Birthday and current age

Grade

The undersigned parent or legal guardian of the minor child/ren above does hereby grant permission for the said child/ren to engage in the various activities sponsored by Saint Philip’s in the Hills Episcopal Church.

Yes No

I hereby grant to Saint Philip’s in the Hills Episcopal Church the right to photograph (during the course of Church-sponsored activities) my dependent child/ren above and to use the photo and/or other digital reproduction of said child or other reproduction of their physical likeness for publication purposes, whether electronic, print, digital or electronic publishing via the Internet. Children WILL NOT be identified by name without specific written permission from parents. I certify that I am a custodial parent and have the aforementioned rights to assign.

I/we, the undersigned parent(s)/guardian(s) of the minor child/ren do authorize Saint Philip’s in the Hills Episcopal Church, its designated representatives, and other official personnel connected with Church-sponsored activities, to consent to any medical treatment which may be deemed advisable during the sponsored activity. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required, but is given to provide authority and power on the part of aforesaid agent to give specific consent to any and all such aforesaid diagnosis, treatment or hospital care which may be deemed advisable in consultation with licensed medical personnel in the event of an emergency. The authorizing person further understands and agrees: that if medication is to be given to the registered minor by Saint Philip’s personnel, that they are not legally or financially liable for administering or for the results of administering medication; if medication is to be given, parent/guardian must make arrangements with the Saint Philip’s personnel; that in case of accident, Saint Philip’s in the Hills, other participating organizations and their designated leaders assumes no financial responsibility beyond the secondary insurance coverage. I hereby give my authorization for my child to be subject to the supervision of the Saint Philip’s staff and designees.

By typing my name I sign the above releases.

If your child is 7+ and curious about the choir, please let us know if you would like to rsvp for these fall welcome dates:
Saint Nicholas Choir ‘Be a Chorister Day’ – Wednesday, August 13, 20, and 27 4:30-7:00 pm.

For more information, please contact Justin Appel at justin.appel@stphilipstucson.org and read more here.

We would like to RSVP for the Saint Nicholas August dates. Please list which children if there is more than one.

Please sign me up for the once a week Faithful Families Newsletter

Yes No

Please sign me up for the once a week (during the program year) Parents' Formation Newsletter

Yes No

Please sign me up for weekly text reminders/the emergency text system

Yes No

We are interested in attending the CYFM Family Retreat on Nov 7-9 Weekend

We would like to participate in the Christmas Pageant, please contact us

We would like to have a follow up conversation about

Additional Comments about the above dates and questions

Save the date:
August 24: CYFM Open House and Kick Off Celebration, 11:30-12:30pm.
September 7: First day of Sunday School/Chrisitan Formation and Parents' Formation.
Further save the dates are available in the weekly Newsletter, Faithful Families, which comes out on Tuesdays.

CYFM Registration May 2025-July 2026

Description

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