St. Lucas Youth Church School and Youth Program Registration
Please read, fill out, and submit by February 15, 2010. Contact Kit or Gina at kgnorton@stlucasucc.org if you have questions about this form.
Dear St. Lucas Parents, Our Church School and youth programs exist because adults offer their support to ensure their gorwth and vitality. St. Lucas policies require that two adults be present in each classroom on Sunday mornings, and similarly adult leadership is needed at our youth fellowship and service events. In order to adhere to these policies and reduce the chances of having to cancel a Sunday class or youth event, your help would be greatly appreciated in any or all of the following ways:
Please check all that apply
Assist in Middle School Breakfast club at 9:00 on Sunday Mornings*
Assist in High School Discussion Group at 10:45 on sunday Mornings*
Serve as a Driver (must be 25+)*
Serve as an Adult contact to help coordinate ONE event*
Serve as an Adult leader (attend and help lead an activity)*
Other?
*ALL ADULT VOLUNTEERS, 18 AND OLDER, ARE REQUIRED TO ATTEND A KEEPING GOD'S CHILDREN SAFE CERTIFICATION SEMINAR - THESE SEMINARS ARE OFFERED REGULARLY AT ST. LUCAS BY MICHELE OTTINGER. THE SEMINARS ARE ABOUT ONE HOUR IN LENGTH, AND THERE IS NO COST TO ATTEND THE SEMINAR.
Please uddate the following:
Youth's Name: Date of Birth:
Address:
City: State: Zip Code:
Home Phone: Youth's Cell Phone: Youth's Email address:
Mother's Name: Father's Name:
Email Addresses: Mother: Father:
Cell Phone's- Mother: Father:
Parent/Guardian address if different from above:This is my son's/daughter's: Mothers Address: Father's Address:
In September of 2010 my youth will be in the (7th, 8th, 12th...) grade.
School or School District:
Allergies or special needs we should be aware of:
Technological Safety Issues
From time-to-time, we take photographs during our activities and post them on this website. Names are not posted.Please check one of the following.
I give permission for photos of my youth to be posted on St. Lucas' website.
I do not want my youth's photograph posted on St. Lucas' website.
In order to keep our youth updated on church and youth activities, we may use email and/or texting to communicate with them. Please check the following if applicable:
I give permission for St. Lucas to use my youth's email adress to contact him/her with church related information.
I give permission for St. Lucas to use my youth's cell phone number to contact them via texting with church related information.
Please enter your name:
Please enter today's date: NOTE: By entering your name and the date, you are ELECTRONICALLY signing this form. A hardcopy of this form has been mailed to the address St. Lucas has on file for your family; if you prefer, you may submit the hardcopy form to the Church Office or Kit/Gina at any time before February 15. Your time and participation are truly appreciated.