2022-2023 St. Peter Lutheran Church Sunday School/Confirmation Registration

We happily welcome all young people. For safety reasons, all youth must have a registration form on file.

It is necessary for parents/guardians/caretakers to sign the children in and out of Sunday School each week. This is because we want to keep the children safe and be accountable to the parents/guardians/caregivers. Confirmation students will need to be dropped off and picked up at church.

Participant Information

First Name

Nickname (If preferred over first name)

Date of Birth

Baptism Date (if known)

Student Email (if we have your permission to contact them directly)

Please list any allergies the leaders should be aware of:

Please list any medical, behavioral or sensory concerns and strategies for helping to work through the issue(s)

Is there anything we can do to help your child have the best Sunday School/Confirmation experience possible?

Parent/Guardian/Caregiver Information

Parent/Guardian/Caregiver's Name(s)

Primary Parent/Guardian/Caregiver

Address

Primary Phone Number

Secondary Phone Number

Are you able to receive and reply to text messages if needed?

Yes, at the primary phone number. Yes, at the secondary phone number. No, not at this time.

Parent/Guardian/Caregiver Email Address

This address will receive a confirmation email

What is the best way to contact you?

Text Phone Call Email US Mail

Will the parent/guardian/caregiver of the Sunday school Student be at St. Peter during Sunday School?

Yes, I will be here the whole time each week. Yes, I will be here some of the time and will let the check-in staff know at arrival each week. No, I will not be at St. Peter, but I am available to be reached.

Authorized Individuals for Sunday School and Confirmation pick-up

Emergency Contact Information

Emergency Contact Name

Relationship to Participant

Emergency Contact Phone Number

Permissions and Releases

Image/Video Release: By selecting "YES" on the below Photo Release, you are authorizing St. Peter Lutheran Church to use images and/or video of the registered participant in St. Peter publications.

Image/Video Release

Yes, I authorize St. Peter to use images and or video of the registered participant. No, please do not use images and or video of the registered participant without my written authorization.

Consent and Release: By selecting "YES" on the below Consent and Release, you grant permission for the participant to fully engage in children's and youth ministry activities at St. Peter Lutheran Church.

Consent Release

Yes No

Medical Release: In the event of an emergency and I cannot be reached, I give permission for the supervising St Peter Lutheran Church staff member or the available adult leader(s) to provide the necessary and immediate medical treatment of the participant. I give permission to those administering emergency treatment to do so using those measures deemed necessary. I furthermore absolve those acting on my behalf in this regard from liability as long as there is not gross negligence.

Medical Release

Yes No

Date this form was complted

2022-2023 St. Peter Lutheran Church Sunday School/Confirmation Registration

Description

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