Gloria Dei Lutheran Church Rochester, MN Children's Ministry Registration: 2019-20 Sunday School Registration
Sunday School is open to children who will be ENTERING grades Preschool 1 (3 years old by September 1, 2019) through 5th grade in Fall 2019.

Start Date: September 2019

Time: 10:00 - 10:50 am

Cost: $25 per child

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 *
2019-20 School Year: Preschool 1 is for children who will be 3 years old by September 1, 2019. 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 group with my friend
Name of child IN THE SAME GRADE -- we will try to accommodate your request
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
Primary Contact Information
Information for first person to contact
Primary Contact Name *
First and Last Name
Your answer
Primary Contact Relationship to Child *
Your answer
Primary Contact Phone *
Your answer
Volunteers
We need many volunteers to make Sunday School a success. If you are interested, you will be contacted later regarding your availability and interest in helping in areas such as: small group guide, small group assistant, short-term project assistance, etc.
Volunteer Age Group
Check any group(s) that you would be willing to volunteer with:
Comments
Additional Information/Comments
Your answer
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