Children and Youth Faith Connect Registrations

Please complete the form below to register your child for Faith Connect classes.

Child's Information

Name(Required)

First Last

Birthdate(Required)

Current Grade(Required)

Child's Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Does your Child have any Food Allergies(Required)

Yes
No

Please list Allergens

Other medical concerns, special needs or developmental info that would help us better serve your child?(Required)

Yes
No

Please explain Special Concerns

Adult Information

Name of the Person Registering Child(Required)

First Last

Relationship to Child(Required)

Parent/Guardian Name (If different from above)

First Last

Preferred Family E-mail Address(Required)

Best Phone Number to reach during Sunday Morning Classes(Required)

Please list first and last names of all adults (including parents) or siblings age 12 or older authorized to pick up your child.(Required)

The undersigned gives permission to his or her child to participate in the above named activity and releases Trinity Lutheran Church, its officers, employees, and agents from any liability whatsoever for any injury or death to person or loss or damage to property sustained by the undersigned for any member of his family, in attendance, and the undersigned agrees to defend and indemnify Trinity Lutheran Church, its officers, employees, and agents from any liability or loss they might sustain by reason thereof.

I hereby agree to the above statement.(Required)

Yes
No

I hereby give consent for photos of my child to be used without identifying name labels in any and all Trinity publications.(Required)

Yes
No