6-8th Grade Midweek Registration 2022/2023Fill out one form for each child participating in the Midweek Program.Please enable JavaScript in your browser to complete this form.How many children would you like to register? *1 Child - $ 20.002 Children - $ 40.003 Children - $ 60.00Child 1: Midweek Participant's Name *FirstMiddleLastChild 2: Midweek Participant's Name *FirstMiddleLastChild 3: Midweek Participant's Name *FirstMiddleLastChild 1: Male or Female *MaleFemaleChild 2: Male or Female *MaleFemaleChild 3: Male or Female *MaleFemaleChild 1: Date of BirthMM/DD/YYYYChild 2: Date of BirthMM/DD/YYYYChild 3: Date of BirthMM/DD/YYYYChild 1: Grade in school6th7th8thChild 2: Grade in school6th7th8thChild 3: Grade in school6th7th8thChild 1: Name of Middle School AttendingChild 2: Name of Middle School AttendingChild 3: Name of Middle School AttendingChild 1: Baptized?YesNoChild 2: Baptized?YesNoChild 3: Baptized?YesNoParent's Names *Address *Please enter your street address, city, state/region, postal/zip code and country.Phone *(###) - ### - ####Parent's EmailCurrent Home churchPhoto Release - I give my permission to Good Shepherd Lutheran Church to use photos of my child/children to be used in publications (website, bulletin, newsletter, etc) to promote events and news about Good Shepherd. No personal information such as address or phone number will be advertised or released.YesNoDoes your child/children have any food allergies, medical or behavioral issues that we should know about? If yes, please explain and specify which child.6th, 7th and 8th graders have the opportunity to help in the church nursery. Youth will be paired up with other youth and adults to staff the nursery during the 9:15 Sunday School hour. Interested youth will work in the nursery once a month or less allowing them to attend Sunday School regularly. YesNoFor parents - The Board of Youth Ministry is looking for additional adults to help with events like 5th Quarter, driving youth to and from events, or chaperoning events. If you are willing to help please write your name and the best way that we can contact you.As a parent would you be interested in serving as a small group leader in the program?Yes, please contact me!No, I have other commitments.I can help as a sub occasionally!The Youth Ministry would like a cell phone number for a parent and/or a student to let you know about upcoming events! If you would like to be included in these notifications please include as many cell numbers as you would like.Payment Method *Pay Now via PayPalPay Later via CheckSubmit
