Trinity Lutheran Church                                                    2025-26 Program Registration
Welcome to Trinity's 2025-26 educational programs!  Please fill out one form per child/teen.

For more information about our programs contact Denise Phillippe at dphillippe@trinityhayfield.com or 507-477-2248.   We look forward to welcoming your child/teen to one or more of our Trinity educational programs!  

All programs are contingent on finding volunteer teachers, leaders and/or assistants. 
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Student's First Name *
Student's Last Name *
Programs that Student will participate in (check all that apply) *
Required
Student's Birth Date *
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What grade will the student be in during the 2025-26 school year? *
Home Address *
Home Phone, ONLY IF there is a non-cell family phone
Parent/Guardian #1's Name *
Parent/Guardian #1's Phone Number (mobile preferred) *
Parent/Guardian #1's most checked/used email *
Parent/Guardian #1's address IF different than child's home address above.  
Parent/Guardian #1 is a member of Trinity-Hayfield.  It does not matter for child's/youth's participation!  All children/youth are welcome!   *
Parent/Guardian #2's Name
Parent/Guardian #2's Phone Number (mobile preferred)
Parent/Guardian #2's most checked/used email
Parent/Guardian #2 should be included in group emails or texts
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Parent/Guardian #2's address IF different than child's home address above.  
Parent/Guardian #2 is a member of Trinity-Hayfield.  It does not matter for child's/youth's participation!  All children/youth are welcome!  
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Provide any additional email addresses that should receive emailed information specific to this child's class / group.  If more than one, separate with commas, please.  
For confirmation and high school students, please provide the youth's email address.  
For confirmation and high school students, please provide the youth's cell phone number.  
Tell us if there is anyone who should NOT pick up this child/teen from a Trinity program.    
Emergency Contact's Name (cannot be the same as parent/guardian listed above) (for EMERGENCY use ONLY when parents/guardians CANNOT be reached).  We ALWAYS try to reach the parent/guardian first.   *
Emergency Contact's relation to child *
Emergency Contact's phone number *
Please list any known allergies, the reactions and the recommended treatment.  This includes food, insect, plant, drug, etc., allergies.  
Please list any other health or other relevant information about your child that may affect participation.
If this child has an IEP (individualized education program) or 504 plan that you would like to share with us, so that we can better support your child's learning in our faith formation programs, please do so.  Direct it to Denise Phillippe, dphillippe@trinityhayfield.com .  Information will be shared only with relevant teachers/leaders.  If this question is not applicable, no response is necessary.  
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Permission.  By registering, I give my permission for my child/youth to attend and participate in children's/youth activities sponsored by Trinity Lutheran Church for the year from June 1, 2025 to August 31, 2026. *
Permission to Participate and Release of Liability.  In consideration of the benefits to be derived, and given that Trinity is a non-profit religious institution, I agree to my child's/youth's participation and expressly waive and release any and all claims against Trinity, the pastor, staff, teachers/leaders, congregation, education and youth or other boards, and the Trinity Council arising out of or in connection with the children's/youth activities. *
Health.  By registering, I acknowledge the health of my child/youth to be good for this activity.  *
Medical Treatment Permission.  In the event that my child becomes ill or injured, I give my permission to the leaders or ambulance service to take my child to the nearest hospital or medical clinic for treatment if deemed necessary or advisable.  I shall be liable and agree to pay all costs and expenses incurred in connection with such medical and dental services rendered to this child/youth pursuant to this authorization.  I understand that I will be contacted as soon as possible should my child need medical treatment.   *
Transportation Permission.  I realize that my child/youth may, at times, participate in children's/youth activities away from Trinity's premises and I give my permission for my child to participate in such activities.  I may be requested to give additional verbal, text message, or other written approval for my child to participate in a given activity.  By registering this child, I am giving permission for my child to participate at Trinity and in the surrounding area, in and beyond Hayfield.  I also give permission for my child to ride in any vehicle driven by an adult teacher/ leader / volunteer while attending and participating in activities sponsored by Trinity Lutheran Church.  The participant and I understand that seatbelts shall be worn at all times during transportation.    *
Early Return Home Policy.  Should it be necessary for my child/youth to return home due to medical reasons, disciplinary action, or otherwise, by registering I assume all transportation costs and responsibility.   *
Media Release.  I authorize Trinity Lutheran Church, the pastor, staff, children/youth leaders, and Council to use my child's image in photographs and video recordings displayed on Trinity's website, Facebook page, or other social platforms or other printed and video media.  I agree that Trinity may publish, republish, reproduce, distribute, and display, in whole or in part, such photographs and videos without seeking my prior approval.  I release Trinity, the pastor, staff, teachers/leaders, and Council from any claims I may have, known or unknown, arising from or related to the making, display, broadcast, exhibition, distribution, and other use of the photos and/or videos.  This agreement shall be binding upon me, my heirs, legal representatives, assigns, transferees, and successors in interest.  (If you deny media consent, your child/youth may not be able to participate in certain events.)  
Electronic Communications Permission and Direct Communication Consent. For youth 7th grade and older.  I authorize my 7th grader or older to be included in group texts and email and similar electronic communications.  I authorize the staff and the youth's named volunteer leader(s) to communicate directly with my youth via text message, social media, phone call, email, or other methods about church-related business.  I understand the staff and volunteers will retain a record of all communication with my youth.  Further, these conversations will be held in confidence unless there is a programmatic need or concern for safety.  I will bring any concerns about this communication to the immediate attention of the pastor or staff.  Denial of consent means the youth may not receive necessary or useful information.  
Volunteering.  To use your gifts, serve our children and youth, and/or help keep our program costs low, please consider volunteering in one of the following ways (check all that apply):
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