2025-2026 Weekday Preschool (6wk-23mon)

Please open and read the entire document linked below. To complete this registration form, you will need emergency contact and medical information. Immunization records can be submitted separately or on this form. A non-refundable registration fee of $100 must accompany this application. Once registration is complete, your child will be placed in a class, as enrollment limits allow, and you will be sent a confirmation email.

CHILD'S INFORMATION

Please complete the following for the child you which to enroll in preschool.
Date

Please list their first name/s and age/s.

Please list their first name/s and age/s.

Please list their first name/s and age/s.

Days my child will attend:

1 day-$100 a month
2 days-$200 a month
3 days-$300 a month
4 days-$400 a month

PICK-UP AUTHORIZATION

Name those who are allowed to pick up your child. You may list up to 6 names. Your child will only be released to individuals included on this form. A valid photo ID is required at the time of pick-up.

Name, Phone Number, and Relationship to the Child

Name, Phone Number, Relationship to the Child

Name, Phone Number, Relationship to the Child

Name, Phone Number, Relationship to the Child

Name, Phone Number, Relationship to the Child

Name, Phone Number, Relationship to the Child

MEDICAL INFORMATION

In case of an emergency and you can not be contacted, we will contact one of the people listed below. If they can not be reached, we will contact your child's doctor to secure medical attention.

List first and last name and phone number of someone besides yourself that we can contact.

List first and last name and phone number of someone besides yourself that we can contact.

In case of emergency, and you cannot be located, we will contact one of the emergency contact
names listed on your registration form. If they cannot be reached, we will contact your family
doctor to secure medical attention.

We (I) authorize an adult, in whose care the minor has been entrusted, to consent to any x-ray
examination, anesthetic, medical, surgical, or dental diagnosis or treatment, and hospital care, to
be rendered to the minor under the general or special supervision and on the advice of a
physician or dentist licensed under the provisions for the Medical Practice Act on the medical
staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said
physician or at said hospital.

The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection
with such medical and dental services rendered to the aforementioned child pursuant to this
authorization.

Should it be necessary for our (my) child to return home due to medical reasons or otherwise, the
undersigned shall assume all transportation costs.

The undersigned does also hereby give permission for our(my) child to ride in any vehicle
designated by the adult in whose care the minor has been entrusted while attending and
participating in activities sponsored by Sherwood Oaks Christian Church.

I hereby give my permission for you to seek medical attention when needed and am considered the undersigned as referenced above.

Include their name and phone number.

If available, you may upload your child's immunization records here. You may also email them to kpitner@socc.org or submit them in person. Immunization records must be received in order for this application to be marked as complete.

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    OTHER AUTHORIZATIONS

    Please indicate below that you have read and agreed or decline.

    I consent to the use of my child’s name, voice, image, likeness, and any and all attributes of his/her
    personality, in, on or in connection with any film, audio tape, video tape, audio-visual work, photograph, illustration, animation, or broadcast, in any media or embodiment, now known or unknown, including, without limitation, all formats of computer readable media, produced by or for the benefit of Sherwood Oaks Christian Church (SOCC). I further consent to the use of my child’s name, voice, image, likeness, and any and all attributes of his/her personality in any advertising or promotional material created or used in connection with Sherwood Kids promotional videos, and each such item of advertising or promotional material will be considered a "Work" for purposes of this agreement.

    I irrevocably assign to SOCC (a) any and all claims of copyright I may have in and to Sherwood Kids and Sherwood Oaks Preschool promotional videos, and (b) the exclusive and perpetual right throughout the world to use, print, produce, publish, copy, display, perform, exhibit, transmit, broadcast, disseminate, market, advertise, sell, lease, license, transfer, modify, and create derivative works from Sherwood Kids promotional videos in any media or format, now known or unknown, for any purpose whatsoever.

    I waive any right to inspect or approve the content of Sherwood Kids promotional videos.
    I agree that SOCC will have no obligation to utilize the authorizations and rights I grant to
    SOCC hereunder.

    I hereby release, discharge, and agree to hold harmless SOCC, its legal representatives and assigns, all persons acting under its authority, and those for whom it is acting, from all claims, causes of action and liability of any kind, now known or unknown, in law or in equity, based upon or arising out of Sherwood Kids promotional videos or this agreement including, without limitation, claims of libel, slander, invasion of privacy, right of publicity, defamation, trademark infringement, and copyright infringement.

    I represent and warrant that I am over the age of eighteen (18) years, I am the parent and/or legal
    guardian of the child being registered, and that the authorizations and rights granted hereunder
    do not conflict with or violate the rights of any third party. This agreement will be binding upon my heirs, successors, representatives, and assigns. Please review the attached document at the beginning of this form and then confirm your authorization.

    In consideration for participation in activities sponsored by Sherwood Oaks Christian Church,
    the undersigned, for myself and my child, hereby release and forever discharge Sherwood Oaks
    Christian Church, from any and all actions, causes of action, claims and demands, known or
    unknown, which I or my child participating in activities sponsored by Sherwood Oaks Christian
    Church. I acknowledge that there is no worker’s compensation or accident insurance furnished
    by Sherwood Oaks Christian Church.

    This release of liability is binding on the undersigned, the child of the undersigned participating
    in activities sponsored by Sherwood Oaks Christian Church, all persons claiming through the
    undersigned or said child, and the heirs, personal representatives and assigns of the undersigned
    and said child.

    REGISTRATION FEE

    A non-refundable registration fee of $100 must accompany this application. You will be sent an email with the payment link after you submit the application. Your registration will not be processed until we receive your registration fee payment.

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