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Seminary Registration - The Church of Jesus Christ of ... · Seminary Registration ... Primary...

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Seminary Registration Options for seminary registration: (1) complete this form or (2) register online at seminary.lds.org. Note: Students in released-time programs must include released-time on their school schedules. Student Information Print clearly. Name (first, middle, last) Preferred name Date of birth (day, month, year) Ward or branch Stake or district Gender □ Male □ Female Religion □ LDS □ Other Year in school School or seminary attending Primary Contact Information (Parent or Guardian) Name (first, last) Mailing address Home phone □ Preferred contact option City State or province Postal code Country Work phone □ Preferred contact option Email address □ Preferred contact option Mobile phone □ Preferred contact option Secondary Contact Information (Parent or Guardian) Name (first, last) Mailing address Home phone □ Preferred contact option City State or province Postal code Country Work phone □ Preferred contact option Email address □ Preferred contact option Mobile phone □ Preferred contact option Signatures Signing this registration form signifies your acceptance of the agreement below. Student Date Parent (or guardian) Date Agreement Permission to Participate in Seminary Participating in seminary is a privilege, and we welcome you. You and your child (collectively “you”) agree and give permission to participate in seminary discussions, activities, and classes, including, if you enroll in released-time seminary, for one period during the school day. You agree to comply with seminary policies (including the requirement of regular on-time attendance at classes) and also agree that Seminaries and Institutes of Religion, a department of Corporation of the President of The Church of Jesus Christ of Latter-day Saints, and its affiliated legal entities (collectively “we”) are not responsible for any harm that may result from your failure to comply with these policies. Student Information Privacy Policy You agree that we may collect and process your personal information from this form and from your membership record (if you are a member of The Church of Jesus Christ of Latter-day Saints) for purposes related to your enrollment and participation in seminary and to respond to questions or issues that may arise while you are in seminary. You understand that your personal information may be transferred to Church headquarters in the United States, and you consent to this transfer, if applicable. Your personal information may be retained indefinitely as part of a permanent Church historical record. We will never sell your information. We use technical and organizational measures to protect the personal information we receive against loss, misuse, and unauthorized alteration and to protect its confidentiality. Research studies and surveys: If you are asked to participate in a research study or survey, you understand that participation is entirely voluntary and that you may withdraw at any point. Any personal information you provide as part of a research study (for example, email address or mobile phone number) will be used only for the purpose of contacting you about participating in future studies or surveys. You may opt out of receiving such contacts. Release to Use Image You assign and irrevocably grant to us the right and permission to use and—without limit to time, number, language, geography, and/or medium (including now unknown and future media)— reproduce, distribute, display, perform, create derivative works from, or sublicense any images or recordings made of you in connection with seminary. You authorize us to interview you and record your interview; to use or record your name, voice, image, likeness, and performance; and to copy, reproduce, adapt, edit, © 2013 by Intellectual Reserve, Inc. All rights reserved. 12/12. PD50048392
Transcript

Seminary Registration

Options for seminary registration: (1) complete this form or (2) register online at seminary .lds .org.

Note: Students in released-time programs must include released-time on their school schedules.

Student Information Print clearly.Name (first, middle, last) Preferred name

Date of birth (day, month, year) Ward or branch Stake or district

Gender□ Male □ Female

Religion□ LDS □ Other

Year in school School or seminary attending

Primary Contact Information (Parent or Guardian)Name (first, last)

Mailing address Home phone □ Preferred contact option

City State or province Postal code Country Work phone □ Preferred contact option

Email address □ Preferred contact option Mobile phone □ Preferred contact option

Secondary Contact Information (Parent or Guardian)Name (first, last)

Mailing address Home phone □ Preferred contact option

City State or province Postal code Country Work phone □ Preferred contact option

Email address □ Preferred contact option Mobile phone □ Preferred contact option

Signatures Signing this registration form signifies your acceptance of the agreement below.Student Date

Parent (or guardian) Date

Agreement

Permission to Participate in SeminaryParticipating in seminary is a privilege, and we welcome you. You and your child (collectively “you”) agree and give permission to participate in seminary discussions, activities, and classes, including, if you enroll in released-time seminary, for one period during the school day. You agree to comply with seminary policies (including the requirement of regular on-time attendance at classes) and also agree that Seminaries and Institutes of Religion, a department of Corporation of the President of The Church of Jesus Christ of Latter-day Saints, and its affiliated legal entities (collectively “we”) are not responsible for any harm that may result from your failure to comply with these policies.Student Information Privacy PolicyYou agree that we may collect and process your personal information from this form and from your membership record (if you are a member of The Church of Jesus Christ of Latter-day Saints) for purposes related to your enrollment and participation in seminary and to respond to questions or issues that may arise while you are in seminary. You understand that your personal information may be transferred to Church headquarters in the United States, and you consent to this transfer, if applicable. Your personal information may be retained indefinitely as part

of a permanent Church historical record. We will never sell your information. We use technical and organizational measures to protect the personal information we receive against loss, misuse, and unauthorized alteration and to protect its confidentiality.Research studies and surveys: If you are asked to participate in a research study or survey, you understand that participation is entirely voluntary and that you may withdraw at any point. Any personal information you provide as part of a research study (for example, email address or mobile phone number) will be used only for the purpose of contacting you about participating in future studies or surveys. You may opt out of receiving such contacts.Release to Use ImageYou assign and irrevocably grant to us the right and permission to use and—without limit to time, number, language, geography, and/or medium (including now unknown and future media)—reproduce, distribute, display, perform, create derivative works from, or sublicense any images or recordings made of you in connection with seminary. You authorize us to interview you and record your interview; to use or record your name, voice, image, likeness, and performance; and to copy, reproduce, adapt, edit,

© 2013 by Intellectual Reserve, Inc. All rights reserved. 12/12. PD50048392

2 12/12. PD50048392

Seminary Registration—continuedand summarize any recording for use at our sole discretion. You authorize the reproduction, sale, copyright, exhibition, broadcast, electronic storage, and/or distribution of images or recordings without limitation, at our sole discretion. You hereby release us from any and all liability from such use and publication, and you waive any right to compensation for any of the foregoing.Internet and Online Use PolicyWhen you use our facilities, equipment, or technological resources to access content online, we may collect information from your web browser. This information may include your IP address, browser type, operating system, and language preference; any referring web page you were visiting before you came to our site; date and time of each visit; and information you search for on our sites. We also use cookies and clear GIFs to collect information online. You can change your web browser setting to stop accepting cookies or to prompt you before accepting a cookie from the sites you visit. If you configure your web browser setting to not accept cookies or clear GIFs, however, you may not be able to use some sections or functions of our sites.Websites, software, content, servers, and other technologies and materials used to deliver seminary programs (“Seminary Tools”) are owned or licensed and operated by us. We may monitor all communications (email, text messages, social media, and so forth) that use or take place within Seminary Tools for inappropriate or illegal content and may forward them to ecclesiastical leaders or law enforcement officials as needed to protect students and Church interests. You consent to this monitoring and forwarding. Although we may monitor some communications, we cannot monitor all communications. Electronic communications are not secure. We do not guarantee that you will not be exposed to unwanted messages, material, viruses, or other malware. Messages containing inappropriate content may be deleted without notice and may not be sent to intended recipients. You agree that you will not send or resend any message that is obscene, defamatory, illegal, or hateful or

that infringes or violates the rights of others. Seminary Tools may be used only for communicating with other students, teachers, and ecclesiastical leaders regarding gospel-related topics and events. You may not download, redistribute, or post (for example, on YouTube or Facebook) any text, image, sound, or video file from Seminary Tools.We are not liable for any damages (including lost data) caused by your use of, or your inability to use, Seminary Tools or any materials or messages provided therein or by other users or linked sites. SemInARy ToolS ARe PRovIded “AS IS.” We dISClAIm All exPReSS oR ImPlIed WARRAnTIeS, InCludInG WARRAnTIeS of TITle, meRChAnTAbIlITy, And fITneSS foR A PARTICulAR PuRPoSe. We do noT WARRAnT ThAT The funCTIonAlITy of SemInARy ToolS WIll be unInTeRRuPTed oR eRRoR fRee, ThAT defeCTS WIll be CoRReCTed, oR ThAT Any WebSITe oR SeRveR ThAT mAkeS SemInARy ToolS AvAIlAble IS fRee of vIRuSeS oR oTheR hARmful ComPonenTS.MiscellaneousYou are responsible for complying with all laws and regulations in your area, but this Agreement is governed by the laws of the State of Utah, USA, without giving effect to principles of conflicts of law. Any legal action brought to enforce this Agreement or relating to seminary shall be brought in the state or federal courts located in Salt Lake County, Utah, USA, and you hereby consent and submit to the personal jurisdiction of such courts. If any provision of this Agreement is unlawful, void, or unenforceable in whole or in part, the remaining provisions shall not be affected unless we determine that the invalid or unenforceable provision is an essential term to the Agreement, in which case we may, at our sole discretion, amend the Agreement.If you have questions or concerns regarding this Agreement, please call 1-801-240-2701 (or 1-800-453-3860, extension 2-2701) to speak with a seminary representative.

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If you would like your child to participate in seminary but you do NOT accept all or any portion of this Agreement, please email your concerns to [email protected], or contact your local S&I administrator for assistance.

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