Gloria Dei Lutheran Church Rochester, MN Children's Ministry Registration: 2018-19 Sunday School Registration
Sunday School is open to children who will be ENTERING grades Preschool 1 (3 years old by September 1, 2018) through 5th grade in Fall 2018.

Music will be part of the Sunday School experience.

Start Date: September 9, 2018

Time: 9:55 - 10:55 am

Cost: $25

No one will be turned away because of inability to pay.

Child's Information
Child's First Name *
Your answer
Child's Last Name *
Your answer
Grade *
2018-2019 School Year: Preschool 1 is for children who will be 3 years old by September 1, 2018. Preschool 2 is for children who will be 4 years old by September 1.
Birth Date *
MM
/
DD
/
YYYY
Gender *
I would like to be in a class with my friend
Name of child IN THE SAME GRADE -- we will try to accommodate all requests, but sometimes it is not possible
Your answer
Elementary School
Answer only for children entering grades Kindergarten - 5th
Your answer
Known Allergies or Medical Concerns *
Enter details of allergies/concerns that we would need to know about during Sunday School class. Include dietary restrictions: We occasionally serve snacks and want to make safe choices.
Permissions
By submitting this form, I give my permission for my child's photo to be used for publicity purposes. *
I give my permission for Gloria Dei staff to consent to any medical care deemed advisable by this approved emergency clinic or hospital *
Enter medical center name
Your answer
Family Information
Child Lives with *
Gloria Dei Membership *
Parent/Guardian Name (1) *
First and Last Name
Your answer
Parent/Guardian (1) Street Address *
Your answer
Parent/Guardian (1) City *
Your answer
Parent/Guardian (1) Zip Code *
Your answer
Parent/Guardian (1) Home Phone *
Enter 'None' if no home phone
Your answer
Parent/Guardian (1) Cell Phone *
Enter 'None' if no cell phone
Your answer
Parent/Guardian (1) Email Address *
Your answer
Parent/Guardian Name (2)
First and Last Name
Your answer
Parent/Guardian (2) Street Address
If different than Parent/Guardian (1)
Your answer
Parent/Guardian (2) City
If different than Parent/Guardian (1)
Your answer
Parent/Guardian (2) Zip Code
If different than Parent/Guardian (1)
Your answer
Parent/Guardian (2) Home Phone
If different than Parent/Guardian (1)
Your answer
Parent/Guardian (2) Cell Phone
Your answer
Parent/Guardian (2) Email Address
Your answer
Emergency Contact Information
Information for first person to contact
Emergency Contact Name *
First and Last Name
Your answer
Emergency Contact Relationship to Child *
Your answer
Emergency Contact Phone *
Your answer
Volunteers
Volunteer Positions
We need many volunteers to make Sunday School a success. Please consider helping out. If registering more than one child, you only need to fill this section in once.
Volunteer Age Group
Check any group(s) that you would be willing to volunteer with
Comments
Additional Information/Comments
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Gloria Dei Lutheran Church. Report Abuse - Terms of Service