Trinity Lutheran Church                                                    2023-24 Program Registration
Welcome to Trinity's 2023-24 educational programs!  Please fill one form out per child.

For more information about our programs contact Denise Phillippe at dphillippe@trinityhayfield.com or 507-477-2248.   We look forward to welcoming your child/teen to one or more of our Trinity educational programs!  

All programs are contingent on finding volunteer teachers and assistants.  

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Student's First Name *
Student's Last Name *
Programs that Student will participate in (check all that apply) *
Required
Student's Birth Date *
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YYYY
What grade will the student be in during the 2023-24 school year? *
Home Address *
Home Phone, ONLY IF there is a non-cell family phone
Parent/Guardian #1's Name *
Parent/Guardian #1's Phone Number (mobile preferred) *
Parent/Guardian #1's most checked/used email *
Parent/Guardian #1's address IF different than child's home address above.  
Parent/Guardian #1 is a member of Trinity-Hayfield.  It does not matter for child's/youth's participation!  All children/youth are welcome!   *
Parent/Guardian #2's Name
Parent/Guardian #2's Phone Number (mobile preferred)
Parent/Guardian #2's most checked/used email
Parent/Guardian #2 should be included in group emails or texts
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Parent/Guardian #2's address IF different than child's home address above.  
Parent/Guardian #2 is a member of Trinity-Hayfield.  It does not matter for child's/youth's participation!  All children/youth are welcome!  
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Provide any additional email addresses that should receive emailed information specific to this child's class / group.  
For confirmation and high school students, please provide the youth's email address.  
For confirmation and high school students, please provide the youth's cell phone number.  
Emergency Contact's Name (cannot be the same as parent/guardian listed above) (for EMERGENCY use ONLY when parents/guardians CANNOT be reached) *
Emergency Contact's relation to child *
Emergency Contact's phone number *
Please list any known allergies, the reactions and the recommended treatment.  This includes food, insect, plant, drug, etc., allergies.  
Please list any other health or other relevant information about your child that may affect participation.
By registering, I give my permission for my child/youth to participate in this planned activity of Trinity Lutheran Church, understanding that activities may be indoors or outdoors or involve short trips off the church property by foot or in a vehicle. *
By registering, I acknowledge the health of my child/youth to be good for this activity.  By registering, I give permission that in the event I cannot be reached in an emergency, Trinity will secure any medical treatment deemed necessary for my student.   *
Please check the box below to give permission to use any pictures taken (without names) in the church newsletter, website, and social media.
To use your gifts, serve our children and youth, and/or help keep our program costs low, please consider volunteering in one of the following ways (check all that apply):
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