Family Ministry Registration

Family Ministry Registration

Babies - High School
By completing this registration form, you give permission for your child to participate in all Family Ministry activities at Christ the Savior Lutheran Church. In addition to registration, reservations may be required for specific childcare and/or events. By providing your phone number you give permission to receive texts. You may update your information at anytime throughout the year using this form.
If you are registering for an event, is your child a guest:*

YesNo
What event is your child attending:
Child's relationship to person completing this form: *
Parent/ Guardian 1*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Preferred Phone (will also be used on Sunday mornings to contact via text if needed) *

Area CodePhone Number
Preferred Email*
example@example.com
Parent/ Guardian 2

First NameLast Name
Address (if different than above)

Street Address

Street Address Line 2

CityState

Zip Code
Preferred Phone

Area CodePhone Number
Preferred Email
example@example.com
Child 1*

First NameLast NameName Goes By
Student Email:
example@example.com
Student Cell Phone Number

Area CodePhone Number
Date of birth:*

MonthDayYear
Grade (starting Fall of 2024):*

Babies to PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th
Baptized:*

YesNo
Confirmed:*

YesNo
Non-seasonal allergies:*

YesNo
Please explain:
Special Considerations:
Child 2

First NameLast NameName Goes By
Student Email:
example@example.com
Student Cell Phone Number

Area CodePhone Number
Date of birth:*

MonthDayYear
Grade (starting Fall of 2024):*

Babies to PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th
Baptized:*

YesNo
Confirmed:*

YesNo
Non-seasonal allergies:*

YesNo
Please explain:
Special Considerations:
Child 3

First NameLast NameName Goes By
Student Email:
example@example.com
Student Cell Phone Number

Area CodePhone Number
Date of birth:*

MonthDayYear
Grade (starting Fall of 2024):*

Babies to PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th
Baptized:*

YesNo
Confirmed:*

YesNo
Non-seasonal allergies:*

YesNo
Please explain:
Special Considerations:
Child 4

First NameLast NameName Goes By
Student Email:
example@example.com
Student Cell Phone Number

Area CodePhone Number
Date of birth:*

MonthDayYear
Grade (starting Fall of 2024):*

Babies to PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th
Baptized:*

YesNo
Confirmed:*

YesNo
Non-seasonal allergies:*

YesNo
Please explain:
Special Considerations:
As the parent or guardian of child(ren) listed above, by signing electronically, I agree to the Child Medical Release as state above*

Clear
As the parent or guardian of child(ren) listed above, by signing electronically, I agree to the General Release and Hold Harmless as state above*

Clear
As the parent or guardian of child(ren) listed above, by signing electronically, I agree to the Media Release as state above*

Clear
Questions/ Comments:
Today's date:*

MonthDayYear
Date
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