Children's Connect Registration
Please complete the following questions to register for St. John's Children's Connect (Faith Formation program) for the 2026-2027 school year. Please be sure to include all emails you wish to receive weekly ministry correspondence and those specific to your child's group. Children will meet on Sundays at 10:10 a.m. in the Center for Ministry and Education beginning on September 20, 2026. We will meet on September 13th at 10:00 a.m. for One Worship in ASH and a Ministry Fair to follow. Registration for the children's program is open all year. Please contact Georgi Funderburk at gfunderburk@stjohnsec.org if you have any questions. Be sure to click "SUBMIT" once you complete the registration.
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Child's Full Name  *
Child's Preferred Name
Child's Preferred Pronouns *
Child's Date of Birth *
Home Address *
Child's School *
Child's Grade for 2026-2027 *
Parent/Guardian's names *
Cell Phone Numbers (Please list all parent/guardian names and numbers) *
May we text you updates? *
Email for weekly correspondence; please include all emails you want to receive weekly Children's Faith emails as well as group specific information. *
With Whom does your child live? *
Let us know a little about your child --interest, hobbies, any special interest or needs: *
Please let us know any allergies, dietary restrictions and food allergies. *
Emergency Contact 1: please include name, relationship, and phone number. *
Emergency Contact 2: please include name, relationship, and phone number. *
Physician - include name and office number *
Medical Insurance Company and Policy Number *
This consent question gives permission to seek whatever medical attention is deemed necessary, and releases the Church and its staff of any liability against personal losses of named child. We, the parents/legal guardian of the youth named above, a minor, have given our consent for them to attend events being organized by the Church. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the Church, its clergy, employees, agents, and volunteer workers from any and availability for any injury, loss, or damaged to person or property that may occur during the course of my/our child's involvement. In the event that he/she is injured and required the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required form a physician and/or hospital personnel designated by the Church, I/we agree to hold such person free and harmless of any claims, demands or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the child named above. I/we also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by the student ministries staff member. I/we give permission for the Church and its clergy, employees, agents, and volunteer workers to transport our child to off-campus children's ministry activities. I/we agree that if authorized church officials decide that my/our child must be sent home for behavior reasons or illness, I/we assume full financial responsibility for my child's trip home. *
Are there any special circumstances that we should know about to help us best minister to your child?
Do you give permission for St. John's to take and use photos of your child in our publications, on Social Media, etc. *
The Mission, Programs, and Ministries of St. John's Church depends upon the generosity of our members and friends through the annual pledge campaign. Thank you for the many ways you give to support children's ministries and more at St. John's. Please let us know if you would like additional information on any of the following:
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Our vibrant children's program is a success due to the many volunteers who help. It truly takes a Parish and family involvement is necessary - every children's family is expected to participate. Please let us know how you are willing to help with any of the below. Please select at least one. You will be contacted in the future. *
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By signing below, I acknowledge that I fully understand and agree to the above 'yes' checked boxes.  I also agree that all the information provided is true to the best of my knowledge. I also hereby authorize St. John's to care for my child during events. *
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