Sunday School Registration | Family of God Lutheran Church

2024 - 2025 Pre-Confirmation Registration Form

(Grades 5 - 6)

FEES ARE $25 PER STUDENT / MAXIMUM $50 PER FAMILY. TALK TO PASTOR ERIN FOR SCHOLARSHIPS.

Student #1 Full Name:

Grade:

School Attending:

Date of Birth:

Baptized:

Baptismal Date:

Any additional information you feel would be helpful to our leaders? (allergies, IEP, or other):

Amount Due:

Student #2 Full Name

Grade:

School Attending:

Date of Birth

Baptized:

Baptismal Date:

Any additional information that would be helpful to our leaders (allergies, IEP, or other)?

Amount Due

Parent (s) / Guardian (s):

Address:

City:

State:

Zip:

Primary Phone:

Type:

Secondary Phone:

Type:

Email Address:

Parent/Guardian 2 (if different from above):

Address:

City:

State:

Zip:

Primary Phone:

Type:

Secondary Phone:

Type:

Email Address:

Release from Liability:

Guardians hereby authorize my son/daughter to participate in said activity. Guardians hereby release, forever discharge, and agree to hold harmless, Family of God Lutheran Church, from the described event, and the directors thereof from any and all liability, claims, or demands for personal injury, sickness, or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the participant that occur while said person is participating in the described event. The undersigned further hereby agrees to hold harmless and indemnify Family of God Lutheran Church, its directors, employees, and agents for liability sustained by said acts of said participant, including any expenses incurred. The undersigned also gives permission for photos to be used online and in print.

Medical Release:

The undersigned further consents to the administration of first-aid and/or doctor’s care, or any other form of medical treatment necessitated by illness or injury that may require the same. In the event of the necessity of such care or treatment as heretofore described, the undersigned agrees to hold harmless and indemnify Family of God Lutheran Church, its directors, employees, and agents from any acts of misconduct, and/or failure to act on the part of those chosen to administer medical aid on behalf of the participant.

For Parent/Guardian Signature:

I also understand that if my child is intentionally creating problems or is found in possession of controlled substances, I may be contacted to provide immediate transportation home at our family’s expense.

Electronic Signature Required:

By checking this box, I agree to the above statements.

Payment Options

Cash

Check

Credit/Paypal

TOTAL AMOUNT DUE:

Family of God Lutheran Church ELCA