Zion Lutheran Sunday School Registration
Zion Evangelical Lutheran Church, Salt Lake City
For questions, contact Teresa Gresham at (919) 274-5450 or teamgreshamgo@gmail.com 
NOTE: Red asterisks indicate required questions. The initial email address is for the primary parent contact. 
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Email *
Youth's name *
Youth's age on Sept 18, 2022 *
Youth's grade for 2022-2023 school year (Year or "PreK") *
Parent's name(s) *
Additional parent's email if desired
Parent's phone number(s) *
Dietary restrictions (for snacks) *
Does your youth have any allergies or medical conditions?  *
Does your youth have challenges that would make it difficult for them to participate in activities, or are there any activities your youth may choose not to participate in? *
Is there anything else I or other adult leaders should know when working with your youth?  *
Please check any other areas in which you would like to assist.
Medical release/permission form: I (we) do for myself (ourselves) and on behalf of my child/participant do hereby release, forever discharge and agree to forever hold harmless Zion Evangelical Lutheran Church, the employees and agents thereof, from any and all liability, claims and demands for personal injury, sickness and death, as well as property damage and expenses of any nature whatsoever which may be incurred by me or my child/participant resulting from said child’s participation in the Sunday School program. Further, I (we) (and on behalf of our child/participant under 18 years of age) hereby assume all risk of said personal injury, sickness, death, damage and expenses as a result of participation as above set forth. I also understand that staff and volunteers are not responsible for the administration of prescribed medication and I (we) have made private arrangements for any medication taken by my child/participant. I (we) am (are) the parent (s) or legal guardian (s) of this participant and hereby grant my (our) permission for him/her to participate fully in said program and give my (our) permission to take said participant to a doctor or hospital, share the treatment and assume responsibility of all medical bills incurred by my child.  Please type your youth's name and your name in agreement. By typing your name you agree to all terms above and understand this will be accepted as your legal signature.   *
Medical insurance carrier name and address, subscriber name, and policy/group number *
COVID-19: We are striving always to educate ourselves and our keep our adults and youth safe while offering faith-filled fun. The Zion Evangelical Lutheran Church Sunday School program will adhere to guidelines in place through our state (UT) and church (Zion). By signing below you acknowledge and accept the risks and release Zion Evangelical Lutheran Church, staff, and adult and youth volunteers from any responsibility or fault of sickness. Please type your youth's name and your name in agreement. By typing your name you agree to all terms above and understand this will be accepted as your legal signature.     *
Photo release:  I give permission for photos or videos of my child to be used by Zion Evangelical Lutheran Church for the website, teacher training sessions, or to share the program with our congregation.   *
Rules of conduct: For your information, we expect each student to conform to these rules of conduct: Youth will come with an open mind and open heart and an inclusive attitude that is respectful of all adults, volunteers, and other youth. Youth will follow directions and participate appropriately, being respectful of all Church property whether inside or outside. Youth will avoid threats, acts of violence, inappropriate language and dress, drug use of any kind (including but not limited to smoking/vaping, drinking, etc.). Youth will refrain from cell phone use while participating in activities. Youth will act in a Christian manner at all times and be open to what God has in store for them. Youth who fail to comply with these expectations will be sent home and will need to meet with adult leaders to plan for future participation.  Please type your youth's name and your name in agreement. By typing your name you agree to all terms above and understand this will be accepted as your legal signature.       *
I understand that youth must be picked up at their Sunday School classroom unless instructed otherwise. *
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