St Luke's Youth Census 2025-2026

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Where Faith & Life Connect

Your Child's First and Last Name *

Your Child's Preferred Name

Your Child's Preferred Pronouns

Your Child's Birthdate *

Your Child's Current Grade in School *

Parent or Legal Guardian's Name *

Parent or Legal Guardian Phone Number *

Email to be used for future communications *

Person who will be bringing this child to church if other than the parent

Your Address *

Your Child's Email Address (if applicable)

If we cannot reach you, whom shall we contact in case of emergency? (Name and Phone Number) *

Has your child been baptized? *

Yes

Has your child been confirmed? *

Yes

If your child has been baptized and/or confirmed, please list the dates and location(s) below.

May your child have a snack during class? *

Yes

Dietary restrictions or Food Allergies *

None

Vegetarian

Vegan

Gluten-free

Other:

Are you interested in volunteering or providing snacks for your child's classroom? *

Volunteering

Providing Snacks

Not at this time

Other:

Please check if interested in any of the below for your child: *

Sunday School, PreK-1st Grade, Sunday Mornings 9:45AM, (joining the church service at The Peace)

Youth Faith Formation 1, Grades 2&3, Sunday Mornings 9:45AM, (joining the church service at The Peace)

Youth Faith Formation 2, Grades 4&5, Sunday Mornings 9:45AM, (joining the church service at The Peace)

Solemn Communion Class, 4th Grade, Spring 2026, Sunday mornings 9:00AM

Rite-13 Celebration, for those who have recently turned 13 years old or will this school year, class time TBD

Confirmation Program, Grades 9-12, Winter/Spring 2026, class dates and times TBD

Lamplighters, Bible study and songs for Grades K-5, Wednesdays at 4:30PM in the dining room

Storytime, Children ages 0-4 and caregivers, Wednesdays at 4:30PM in the nursery

Family Table, Wednesday dinner for families starting around 5:30PM in the dining room

Other:

Required

Please check all ministries in which your child is interested

Joining (or continuing in) the choir

Participating in the Fun & Faith Fridays Youth Group (third Friday of the month)

Reading a lesson (serving as a lector) during worship

Becoming a Greeter

Becoming an Usher

Becoming an Acolyte

Getting involved in St. Luke's feeding ministries and outreach

Please list any special concerns of which your child's teacher should be aware (health problems, custody issues, etc.)

Please indicate below whether you give St. Luke's Episcopal Church permission to photograph your child and post their picture solely for the church's website, Facebook page, and other promotional material. Please note that St. Luke's Episcopal Church will never publish a child's name in any of its publications. *

Yes, I give St. Luke's Episcopal Church permission to photograph my child and use the photograph(s) as described above.

No, I do not give St. Luke's Episcopal Church permission to photograph my child or use photographs of my child in the manner described above.

As we work on designing our Youth Faith Formation programs for the year, we recognize how important it is to incorporate your child's interested into what we create. What are some of your child's interests, hobbies, and talents?

Has your child participated in Youth Faith Formation programs in the past? If so, what were some of their favorite things about it?

What are your hopes for your child and their involvement in Youth Faith Formation at St. Luke's?

What are your own desires to grow in faith?

I want to participate in a Bible Study.

I would like to be confirmed or received in the Episcopal Church.

I would like to attend a class about what the Episcopal Church believes.

Clear selection

Please note any questions or comments here. Thank you. We look forward to welcoming your child to Youth Faith Formation soon!

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of St. Luke's East Greenwich.

Does this form look suspicious? Report

Forms