Children's Ministry Registration Form
Register your child for Sunday morning JAM (3K - 2nd grade) or Thrive (3rd - 5th grade)
Children's Ministry Logo
Participant First Name *
Your answer
Participant Last Name *
Your answer
Date of Birth (mm/dd/yyyy) *
Your answer
Are you a member of Grace Lutheran Church? *
If "No", please tell us how you heard about us and/or what church you attend.
Required
Does your child attend Grace Lutheran School? *
If "No," please list the school below.
Required
Grade Entering *
Gender *
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Contact Phone #1 *
Your answer
Contact Phone #2
Your answer
Parent/Guardian Email *
Your answer
Allergies *
Your answer
Medical Issues *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Emergency Contact Relationship *
Your answer
Alternate Pickup Name
Your answer
Alternate Pickup Relationship
Your answer
Do you consent to the staff taking pictures or videos of your child during Sunday School, which may be used by Grace Lutheran Church in future promotional materials? *
For "other," please explain.
Please type your name and today's date as your electronic signature to confirm that you agree with the Liability/Waiver statement below. *
I, the parent/legal guardian of the registered child(ren), allow him/her to attend Sunday Morning Children's Ministry at Grace Lutheran Church. I understand that Grace Lutheran Church and School and all volunteers, sponsors, or supervisors assume no financial responsibility for the participants. I agree to indemnify and hold harmless the Church Board of Directors, the Pastors, Church Staff, School Staff, and all approved volunteers of claims, damages, demands or causes of action resulting directly from the activities of Grace Lutheran Church and School. Further I authorize the above mentioned group members to secure medical treatment from a doctor or a hospital in the event the participating person(s) is/are injured at any time during this event.
Your answer
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