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 - 9:45am
Special Events

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 - 9:45am
Special Events

Optional

Register an Additional Child

Child's Name*

Grade*

Date of Birth*

Age*

Allergies / Special Concerns

Baptism Date

Classes

Sunday - 9:45am
Special Events

Optional

Register an Additional Child

Child's Name*

Grade*

Date of Birth*

Age*

Allergies / Special Concerns

Baptism Date

Classes

Sunday - 9:45am
Special Events

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

We are always looking for volunteers to join our Inter-Gen Ministry team to help spread God's word. YOU are an important part of what makes our program a success.

I would like to volunteer to help with the following:

Sunday @ 9:45am
Special Events

Pickup Procedure

New as of September 2015.

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 Sunday School or the Wednesday Evening Program in the designated area. We appreciate your cooperation.

”A Pick up Pass” is required to pick up your child or children on Sunday.

This pass will be given out each Sunday when you drop off your child/ren in their opening classroom. At the end of class, return the pass to the child’s GUIDE in their closing classroom to take your child with you. If you have more than one child, use one pass to pick up all your children from the GUIDE of your oldest child. If you have children in both Pre-K and K-5, take 1 pass for Pre-K and 1 pass for Kindergarten thru Grade 5.

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.