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Home
About Us
Our Mission
Meet Our Staff
Member Directory
Lutheran 101 Class
Who Is The ELCA
Ministries
Children, Youth, and Family (CYF)
Child Development Center (CDC)
Life Groups
Music and Arts Ministry
Bible Studies
Library
Support Groups
Fellowship Opportunities
Social Ministries
News & Events
Prayer Requests
Newsletter
Annual Meeting
Council Minutes
Daily Devotions
Give
Contact Us
God Squad Registration Form
*
Indicates required field
Child's Name
*
First
Last
First, Last
Child's Age
*
Child's Birthday
*
mm/dd/yy
Grade: 2018-19 School Year
*
Girl or Boy
*
Girl
Boy
School Attended
*
Address
*
City & State
*
Zip Code
*
Parent/Guardian Phone
*
Parent/Guardian Email
*
Emergency Contacts
(Please list in order that you prefer we call)
1. Emergency Contact Name
*
Relationship to child
*
Parent, grandparent, friend, etc.
Cell Phone Number
*
Home/Work Number
*
2. Emergency Contact Name
*
Relationship to Child
*
Parent, Grandparent, Friend, etc.
Cell Phone Number
*
Home/Work Number
*
List Allergies/Medical Conditions (Please be as specific as possible)
*
Notes for Ministry Directors: Any other information we should be aware of?
*
Permission To Use Photographs
I grant Resurrection Lutheran Church (RLC) the right to take photos of me and my family in connection with Got Squad Ministry Events. I authorize RLC its assigns and transferees to copyright, use and publish the same in print and electronically. i agree that RLC may sue such photos of me with or without my name and for any lawful purpose, including such purposes as publicity, illustration, advertising, and web content.
I have read and understood the above and give permission for myself and the children listed above.
Parent/Guardian Name
*
First
Last
Submit