Faith Weaver Friends Ministry Registration Form  
Faith Weaver Friends is a unique midweek ministry opportunity that takes place for all Kindergarten through 6th grade students on Wednesday evenings, when school is in session, from 5:15PM to 6:45PM at Zion Lutheran Church. This program is designed to give students a Christ-centered educational experience that mixes learning with exciting stations and activities. This year, Faith Weavers will be beginning on Wednesday, September 7th, 2022. 

Before joining us, so that we have the most accurate information as possible, please take some time to fill out this form to the best of your ability. Make sure to provide true information as, in the case of an emergency, this information will be used for reference. If, after filling out this information, you have any questions, comments, or concerns, please feel free to contact us by phone (402-329-4313) or email (dejare01@icloud.com).
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Email *
Child's First Name *
Child's Last Name *
Child's Birth Date *
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Child's Age *
Child's Current Grade *
Allergies (Food and/or Medical) *
Major Medical Concerns/Special Needs *
Other Information *
2nd Child's First Name
2nd Child's Last Name
2nd Child's Birth Date
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2nd Child's Age
2nd Child's Current Grade
2nd Child's Allergies (Food and/or Medical)
2nd Child's Major Medical Concerns/Special Needs
Other Information for 2nd Child
3rd Child's First Name
3rd Child's Last Name
3rd Child's Birth Date
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3rd Child's Age
3rd Child's Current Grade
3rd Child's Allergies (Food and/or Medical)
3rd Child's Major Medical Concerns/Special Needs
Other Information for 3rd Child
4th Child's First Name
4th Child's Last Name
4th Child's Birth Date
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4th Child's Age
4th Child's Current Grade
4th Child's Allergies (Food and/or Medical)
4th Child's Major Medical Concerns/Special Needs
Other Information for 4th Child
Parent's/Guardian's First Name *
Parents's/Guardian's Last Name *
Primary Mailing Address (Street, City, State, and Zip Code) *
Primary Phone Number *
Secondary Phone Number (Cell), If Applicable *
Secondary Contact's Name (First and Last) *
Relationship to Student *
Secondary Contact Phone Number *
Is this person authorized to pick up this child(ren)? *
Other Relevant Information *
If Applicable, help us to get to know your child better by listing what church you currently attend.  *
Has your child been baptized? *
Our Primary Guidelines are as following:
1. We ask that children not arrive before 5:15PM. Children should enter, and exit, through Narthex doors. 
2. Children are asked not to bring food, drinks, candy, or gum. If your child needs a special diet for health reasons, please indicate this as part of the other information section above. We will work to accommodate. 
3. Children will be expected to stay with their group and participate in activities. The schedule will be featured on our website for your information. 
4. Most activities include lots of movement, but children will be expected to sit during Openings and Bible Lessons. 
5. If a child's behavior is unkind or disruptive, they may be removed from their group for a short, supervised, period of time. If the behavior continues, we may call you on the phone for additional support or suggestions. 
6. Please come into the building, if at all possible, to pick up children at 6:45PM. We ask this for the safety of your children. It helps us know they are going home and not just in the parking lot. Thank you!

Have you read the above guidelines?
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I would like to help with Faith Weavers by...  *
Every activity sponsored by Zion Lutheran Church is adequately supervised, however, unforeseen events can occur. By stating "I Agree," I agree to assume all risks associated with attending this program as to not hold Zion Lutheran Church, employees, and volunteers liable for damages, losses, and injuries to the person(s), and any personal property, registered.  *
By stating "I Agree," I agree that this program may photograph and/or film the designated minor(s) for any purposes that are lawful, appropriate, and related to Zion Lutheran Church and this ministry program. I understand that this media may be used for the purposes of promotion relating to Zion Lutheran Church and this program. *
By stating "I Agree," I authorize Zion Lutheran Church and program staff to treat the above designated minor(s) using basic first aid, if needed. In the event of a major illness and/or injury, I authorize the use of professional medical personnel in the interest of providing emergency medical aid to the designated minor(s). I recognize that I will be responsible for all associated costs related to any medical care.  *
By signing, I agree that the information provided above is complete and accurate, to the best of my knowledge.  *
Date of Form Completion *
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