Clone of St. Paul Children and Youth Registration Form 2025-26

St. Paul Children and Youth Registration Form (2026-2027)

Registration is for the following programs (Sunday School, Midweek, Youth Group)
Register for the following program:
Full Name

First NameLast Name
Date of Birth
School Attending & District
Grade
Age
Other sibling names and ages
For youth in 6th-12th grade: Please list contact information for youth group and confirmation reminders.
Youth cell number blank .
Youth email blank.
For children in preschool through 5th grade (6th-12th grade please put N/A in the blank): Who may pick up/sign out your child? blanks* .
Church volunteer provided transportation to registered church events is:

I agree to allow *approved drivers to transport my child to and from events (approved drivers are adults who have passed background checks and been approved (including church staff)).
Are you a member of St. Paul Lutheran Church blanks.
My church is blank.
How did you hear about St. Paul Lutheran Church blanks?
Interested in membership?
Parent/Legal Guardian #1 (first person contacted in emergency. All correspondence sent to this address/main contact person).

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Additional Contact Information
Parent/Legal Guardian #2

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Additional Contact Information
Family member or friend who can be responsible for child if Parent/Legal Guardian #1 cannot be reached:

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship
Parent volunteers are also needed. Please consider helping out! Serving on the education board, serving on the youth board, helping in the nursery, serving as a substitute teacher, planning or leading Sunday School crafts, assisting with the Christmas program, drivers, chaperones, assisting with music. Other special talents or hobbies you would be willing to shareblanks .

Release, Waiver and Authorization for Medical Treatment of a Minor

This is a general release form valid from September 1, 2026 through August 31, 2027 during the times your child is at church and/or under the supervision and care of church staff or adult volunteers. This includes Sunday School when parents are not present, Midweek classes, Youth Group, as well as local, district, and national youth group events.
Please list any special needs, allergies, or dietary restrictions we should know (severity and how to handle), if none please put N/A
Medicine being taken by your child and condition for which he/she is being treated (if medication needs to be taken during a church activity, please discuss with an adult leader). If none please put N/A
Other health needs or information adult leaders should know:
Preferred Doctor blanks* Phone numberblank*
Preferred Dentist blanks* Phone numberblank*
Insurance Provider Nameblanks Phone numberblank
Policy Holder's Name blanks*
Policy Number blanks* Group Numberblank*
Title XIXblanks
Release, Waiver & Permission to Treat
I blanks* verify that the above medical information on my child is complete and accurate and that I have legal custody of the participant named above. I understand that there are inherent risks involved in any ministry and its related activities. I grant my permission for supervising adults to administer general first aid treatment for any minor injuries or illnesses experienced by my child. In the event of an emergency, I hereby authorize the calling deemed necessary by a licensed physician. I also agree to hold harmless St. Paul Lutheran Church, the church's called workers, employees, and volunteers from any and all liability for any injury, loss or damage to person or property that may occur during the course of my child's involvement in events sponsored by St. Paul Lutheran Church, including travel to and from these activities.
Photo Release
Iblanks* hereby grant St. Paul Lutheran Church permission to take and use photographs/videos of the minor designated above for any purpose lawful at any time. I waive any right that I may have to inspect or approved the finished product or written copy of those photos and videos. This form will be valid for all activities sponsored by St. Paul Lutheran Church for one full year from the date below.
It is the responsibility of the child/youth to obtain permission from parents before attending any and all youth events, to inform parents of his/her whereabouts, and to abide by the rules set by the adult supervisors, both verbal and written.

This authorization is effective beginning September 1, 2026 through August 31, 2027. I agree to notify the church office within 14 days if there are any changes to the above information.
Signature
Should be Empty:

St. Paul Children and Youth Registration Form (2026-2027)

Release, Waiver and Authorization for Medical Treatment of a Minor

It is the responsibility of the child/youth to obtain permission from parents before attending any and all youth events, to inform parents of his/her whereabouts, and to abide by the rules set by the adult supervisors, both verbal and written.