Pier Registration Form

The Pier is a Catholic community for students ages 11-14. Led by High School "Pier-Leaders," youth will have fun making friends in a Catholic environment while engaging with the faith in small groups as they continue to draw closer to God in a community distinctly their own. The Pier will meet between 9:45 and 10:45 on Sunday mornings - and there is no fee to be part of The Pier!
Participant Information

 
 
 
 
 
 
 
 
 
 
Please select all that apply.
 
Please select one option.
 
 
Parent/Guardian Information

 
 
 
 
 
 
Authorized Person(s) to Pick up Your Child

 
 
 
 
Emergency Contact Information

Name and phone number of an adult to reach in case of emergency in the event that you cannot be reached at the numbers above.
 
 
Medical Authorization

I understand that the Catholic Diocese of Nashville and Our Lady of the Lake assume no responsibility for accidents which may occur in association with diocesan events and activities.  I agree to use my/our personal insurance to cover any such incidents.  I understand that, in the event medical intervention is needed, every attempt will be made to contact the persons listed above.  In the event those individuals cannot be reached, I/We hereby give permission to the physician or any other qualified medical staff selected by the event leader to hospitalize, secure medical treatment, and/or order injection, anesthesia, or surgery for Participant as deemed necessary.

Permission for Other Medical Matters

In the event it comes to the attention of the Diocesan and/or parish chaperones that my child complains of illness, I grant permission for non-prescription medication (such as Tylenol, lozenges, etc.) to be given to participant.

Please select all that apply.
Photo Release

I hereby authorize the Catholic Diocese of Nashville, Our Lady of the Lake  and it’s agents to utilize photographic and/or video images of me or my child by the Cahtolic Diocese of Nashville or Our Lady of the Lake. In giving my consent, I hereby indemnify and hold harmless the Catholic Diocese of Nashville, Our Lady of the Lake and it’s agents from any and all responsibility of liability.  I understand that I will receive no compensation should any photograph and/or video of me or my child be used.

Please select all that apply.
 

Description

The Pier is a Catholic community for students ages 11-14. Led by High School "Pier-Leaders," youth will have fun making friends in a Catholic environment while engaging with the faith in small groups as they continue to draw closer to God in a community distinctly their own. The Pier will meet between 9:45 and 10:45 on Sunday mornings - and there is no fee to be part of The Pier!