Sunday School & Youth Group Registration
Please fill out one form for each child.

St. Luke's Episcopal Church Sunday School meets from 9:30 to 10:15 a.m. during the school year, for students age 4 through 8th grade.

Youth Group is for students in 6-8th grade in 2016-17. Youth Group meets 1st & 3rd Wednesdays from 6-7:30. See for full information.

The nursery is available year round for birth through age 3.

Questions? Tricia Medlock, or 970-493-7512

Email address *
First Name of Student *
Your answer
Last Name of Student *
Your answer
Grade in school in 2016-17 *
Date of Birth *
Your answer
Name(s) of Parent(s)/Guardian(s) *
Your answer
Email (if not entered at top)
Your answer
Best Phone Number *
Your answer
Your answer
Emergency Contact Person *
Your answer
Emergency Contact Phone Number *
Your answer
Are there any allergies or other conditions we should be aware of? *
If the answer was "yes," please explain
Your answer
My children may be photographed for use in St. Luke's materials (NO children will be identified by name). *
I would like to help with the following. (Check as many as apply.)
I, the undersigned parent or guardian, do hereby authorize emergency medical, dental, health or hospital services to be rendered to my child upon consent of a St. Luke's Episcopal Church staff member or designated volunteer, if needed when involved in activities connected with St. Luke's children's programs, when I or my emergency contact is unavailable to give such consent. This authorization shall be effective from September 2016 through June 2017. My typed name below is my authorization. *
Your answer
A copy of your responses will be emailed to the address you provided.
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