IGNITE Registration

Please complete this form so that you will receive texts, e-mails, and general information about the IGNITE Middle School Minstry at Holy Family Catholic Church.

Name

Enter participant's name above

Gender

Please select one option.

Male Female

Phone

Enter participant's cell phone, if applicable. If participant doesn't have a cell phone, please enter a parent cell phone for text communication.

This address will receive a confirmation email

Enter the best email for family above. To enter more than one, simply separate the addresses with a comma and a space. For example - ignitelife@email.com, ignitelife@email.com

Address

Grade

Please select one option.

6 7 8

School

Please select one option.

Brentwood Academy Brentwood Middle School Central Magnet School Christ the King School Franklin Road Academy Freedom Intermediate School Freedom Middle School Grassland Middle School Heritage Middle School Homeschool Lost Mountain Middle School Mill Creek Middle School Montgomery Bell Academy Overbrook School Page Middle School St Bernard Academy St Edward School St Matthew Catholic School Sunset Middle School Valor Collegiate Woodland Middle School Other

Church

Please select one option.

Holy Family Catholic Church St. Matthew Catholic Church St. Philip Catholic Church Other

Mother

Mother Phone

Father

Father Phone

Media Waiver Release:
I give consent for my child to be in photos and videos used to promote the Diocese of Nashville, Holy Family Catholic Church, and Catholic faith leaders. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me because of such use.

By typing my name here, I signify that I am the parent or guardian of the participant and I agree to the release/waiver detailed above.

Media Waiver Release Date

I consent to one free licensed counseling session for my child prior to my knowledge.

By typing my name here, I signify that I am the parent or guardian of the participant and I agree with the statement above.

Counseling Consent Date

Description

Please complete this form so that you will receive texts, e-mails, and general information about the IGNITE Middle School Minstry at Holy Family Catholic Church.

IGNITE Registration

Description

Please Fix the Following