SPLittles_4 year old_church youth group.jpg

Parents of 3rd through 6th grade (as of September 1, 2024).

There is a new youth group, which is called SPMiddles,
that will be starting on October 6th for these youngsters.

Children will meet the 1st & 3rd Sundays of every month
4:00 PM - 5:30 PM to participate with Bible stories, crafts, activities, etc.

Please register your child below

Childs Name

Birthday

Age

Grade

Street Address

City, State and Zip

Father's Name

Father's Contact Number

Father's Email

Mother's Name

Mother's Contact Number

Mother's Email Address

Allergies or Other Medical Conditions

Emergency Contact

Emergency Contact Number

Emergency Contact Relationship to Child

Person(s) Authorized to Drop off and/or Pick up Child

Permission for Photograph & Video Release - I understand St. Paul Lutheran Church will be taking pictures and videos of my child. Indicate below if you DO GRANT or DO NOT GRANT permission for my child's image to be used on any of the following church website, social media and printed publications. Then digitally sign below.

Permission

I DO NOT GRANT PERMISSION

I GRANT PERMISSION

Signature (Type or Sign)

SPMiddlesSPMiddles

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