Children’s Ministry Registration

Child's Information

Child's First Name*

Child's Last Name*

Grade*

Date of Birth*

Age*

Baptism Date

Allergies / Special Concerns

Classes

Sunday School - 9:45am
I would like information about First Communion class
I would like information about First Bible class

Optional

Register an Additional Child

Child's First Name*

Child's Last Name*

Grade*

Date of Birth*

Age*

Baptism Date

Allergies / Special Concerns

Classes

Sunday School - 9:45am
I would like information about First Communion class
I would like information about First Bible class

Optional

Register an Additional Child

Child's Name*

Grade*

Date of Birth*

Age*

Allergies / Special Concerns

Baptism Date

Classes

Sunday Class - 9:45am
I would like information about First Communion class
I would like information about First Bible class

Optional

Register an Additional Child

Child's Name*

Grade*

Date of Birth*

Age*

Allergies / Special Concerns

Baptism Date

Classes

Sunday School - 9:45am
I would like information about First Communion class
I would like information about First Bible class

Parent / Guardian 1

Name*

Email

Employer*

Phone 1*

Phone 1 Type*

Phone 2*

Phone 2 Type*

Address*

Street Address City State ZIP Code

Parent / Guardian 2

Name

Email

Employer

Phone 1

Phone 1 Type

Phone 2

Phone 2 Type

Address*

Same as Parent / Guardian 1

Street Address City State ZIP Code

Volunteer Opportunities

I would like more volunteer information

We are always looking for volunteers to help our children learn and grow. YOU are an important part of what makes our program a success. If you are interested in learning about opportunities check this box.

Pickup Procedure

On most occasions, my child/ren will be dropped off & picked up by the following person/s:*

(If applicable) My child/ren may NOT be released to the following person/s (information is confidential):

For the safety and well being of your children, we ask that ALL CHILDREN be picked up by one of the above persons inside the church after any Good Shepherd event. We appreciate your cooperation.

Medical and Liability Release

Parent / Guardian Authorization*

I, the parent or guardian of the previous named registered child/ren participating in educational and event ministry sponsored by Good Shepherd Lutheran Church in Inver Grove Heights, Minnesota, do hereby state that said child/ren are physically and medically able to participate in said activity. I do hereby release and discharge Good Shepherd Lutheran Church and its authorized representatives and staff from all liability of any kind and character upon any claim, demand, or cause of action, which might be asserted in behalf of said minor and/or myself against Good Shepherd Lutheran Church, representatives, or staff. Furthermore, in the event of an accident, if said staff or representatives are unable to contact the undersigned, I hereby grant permission to said staff or representatives to administer first aid, and/or have medical personnel (911 or hospital) to treat my child/ren in the event of any emergency in which I cannot be reached.

I give permission to:

Use photographs of the student listed above on the Good Shepherd Lutheran Church social media / website.