6-8th Grade Midweek Registration 2021/2022

Midweek Participant's Name *

First

Middle

Last

Male or Female *

Male
Female

Date of Birth

MM/DD/YYYY

Grade in school

6th
7th
8th

Name of Middle School Attending

Baptized?

Yes
No

Parent's Names *

Address *

Please enter your street address, city, state/region, postal/zip code and country.

Phone *

(###) - ### - ####

Parent's Email

Current Home church

Photo Release - I give my permission to Good Shepherd Lutheran Church to use photos of my child 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.

Yes
No

Does your child have any food allergies, medical or behavioral issues that we should know about? If yes, please explain.

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.

Yes
No

For 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.

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