SALT Registration Form

SALT is a free after-school Bible Club that meets every other Friday from 3:30-5:30 in the Multipurpose Room at Northwestern Elementary. All students 2nd-5th grade are invited! Kids who are registered for SALT will be dismissed directly to SALT from their classrooms. Students need to be picked At the front doors of the school at 5:30.

Registration Form and liability agreement must be completed and turned into the school or the Federated Church office prior to the first meeting your student attends. We can’t wait to see you soon!

~Libby Anderson – Children’s Ministry Director @ the Federated Church.

Child Information:

Mother and/or Guardian's Name:


Father and/or Guardian's Name


In Case of Emergency:

Approved for Pickup:

Allergies:

Liability Agreement and Parental Consent

I give consent for my child, named above in this form, to participate in SALT at Northwestern Elementary during the 2025-2026 School Year. I understand that every activity at SALT is carefully planned and supervised, however, even with the best planning and precaution, accidents or injuries may occur. By signing this form I agree to assume all risks and hazards during SALT events. I agree to not hold the Federated Church, staff or Volunteers responsible in the event of an injury to my child. In the event staff is unable to reach me, I give the staff permission for treatment as deemed necessary. Insurance is considered to be the personal responsibility of the program participant.
I understand that SALT activities are often photographed/recorded for publication and public relations and I grant permission to Federated Church and the TRUE NORTH VBS leaders to use photos/videos of my child for these purposes.