2020-2021 Northshore Elementary Student Registration Form (Online Club)

Thank you for the opportunity to minister to your child! Please fill out the form completely, then select Submit. You will receive an email with all pertinent club information.

By signing below, I agree to the following:


· My child, named below, is allowed to attend Ignite 316 club online.

By signing via electronic signature method you are agreeing the electronic signature will be given full legal effect under federal and state law as if it were hand written. You are agreeing that you have read and understand the statements listed above.
 
Child's Information

Please enter only one child per form.
Use Child's LEGAL Name, then add Nickname below, where applicable. 
*Nickname should be what your child wants to be called in club.
 
 
 
 
 
Please select one option.
Please select one option.
Contact Information

Please enter the BEST Phone Number and Email Address 
for correspondence with your child's Ignite 316 Team Leader.
 
 
 
 
 
 
Special Instructions

Please select one option.
 
 
 
 
 
 
 
 
Other

Please select one option.
 
OPTIONAL Photography and Video Release

Ignite 316 may, from time to time, document the activities of the ministry with photos or videos. By signing below, you agree to assign and grant to Ignite 316, its subsidiaries and successors, and assign the unqualified right to the ownership, use and proceeds of all photographs or video of me or my minor child, without reservation or limitation, including use of photographs or video of me or my minor child for, but not limited to, advertising, educational and promotional purposes.
Please select one option.
By signing via electronic signature method you are agreeing the electronic signature will be given full legal effect under federal and state law as if it were hand written. You are agreeing that you have read and understand the Photography and Video Release statement listed above.
 
After submitting this form, be sure to watch for an email (sent to the email address entered above) with Ignite 316 club information and a Zoom link.

Description

Thank you for the opportunity to minister to your child! Please fill out the form completely, then select Submit. You will receive an email with all pertinent club information.