Gloria Dei Lutheran Church Rochester, MN Children's Ministry Registration: 2023-24 Sunday Bible Adventure Registration

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Sunday Bible Adventure is open to children who will be ENTERING grades Preschool 1 (3 years old by September 1, 2023) through 5th grade in Fall 2023.

Start Date: September 10, 2023

Time: 9:40 - 10:20am (Church services are at 8:30-Traditional and 10:30-EpicOneEight)

Signup Deadline: Registration never closes for Sunday Bible Adventure, but we'd appreciate hearing from you by August 15 so we can better plan volunteer needs and room assignments.

Cost: $25 per child

No one will be turned away because of inability to pay.

If you have questions, contact Deacon Amanda Sabelko (amandas@gloria-dei.com) or (507) 289-1841

Complete the form for each child you want register. You will receive a confirmation email for each submission. Please check your Spam, Junk, Promotions, etc folders if you do not see it.

Email *

Child's Information

Child's First Name *

Child's Preferred Nickname

If your child prefers to be called by another name, let us know

Child's Last Name *

Grade *

2023-24 School Year: Preschool 1 is for children who will be 3 years old by September 1, 2023. Preschool 2 is for children who will be 4 years old by September 1.

Birth Date *

YYYY

Gender *

Boy

Girl

Non-Binary or Gender Non-Conforming

Other:

I would like to be in a group with my friend

Name of child IN THE SAME GRADE -- we will try to accommodate your request

Elementary School

Answer only for children entering grades Kindergarten - 5th

Known Allergies or Medical Concerns *

Enter details of allergies/concerns that we would need to know about during Sunday School class. Include dietary restrictions: We occasionally serve snacks and want to make safe choices.

None

Other:

Accommodations and Equipment

Accommodations
*

Check any accommodations that would be beneficial for your child

No accommodations are needed for my child

One-on-one volunteer: help with transitions, general motor skills, redirection

Group assistant: basic help with attention, redirection for a group of students

Personal Care Assistant -- provided by parent/guardian (background check is required)

Sensory Needs - examples include: quiet space, fidget toys, alternative seating, space to move

Required

Special Equipment *

My child requires the following equipment. If "other", please specify.

My child does not require any equipment

Walker or gait trainer

Crutches/Braces

Wheelchair

Augmentative and Alternative Communication Device (ACC)

Other:

Required

Permissions

By submitting this form, I give my permission for my child's photo to be used for publicity purposes. *

Yes

No - I understand it is my responsibility to discuss this with staff at daily registration.

In case of medical emergency, I give my permission for Gloria Dei staff to consent to any medical care *

Family Information

Child Lives with *

Both Parents

Mother

Father

Other:

Gloria Dei Membership *

Parent/Guardian Name (1) *

First and Last Name

Parent/Guardian (1) Street Address *

Parent/Guardian (1) City *

Parent/Guardian (1) Zip Code *

Parent/Guardian (1) Phone *

Enter 'None' if no phone

Parent/Guardian (1) Email Address

Supply email address if different than email address given at top of form. FYI: Confirmation email will only go to that initial email address. Subsequent camp emails will go to all email addresses given.

Parent/Guardian Name (2)

First and Last Name

Parent/Guardian (2) Street Address

If different than Parent/Guardian (1)

Parent/Guardian (2) City

If different than Parent/Guardian (1)

Parent/Guardian (2) Zip Code

If different than Parent/Guardian (1)

Parent/Guardian (2) Phone

Parent/Guardian (2) Email Address

Primary Contact Information

Information for first person to contact. (This is usually whoever is bringing the child to Sunday School, NOT an emergency contact in the sense of "if we can't get in touch with your family, who should we contact.")

Primary Contact Name *

First and Last Name

Primary Contact Relationship to Child *

Primary Contact Phone *

End of class pickup: Please list ALL persons (including parents) who can pick up your child after class AND their relationship to the child. *

If additional people are added to your list during the school year or for a one-time event, inform the Sunday School staff.

End of class pickup: Please list any persons who are specifically BARRED from picking up your child and their relationship to your child.

Volunteers

We need many volunteers to make Sunday School a success. If you are interested, you will be contacted later regarding your availability and interest in helping in areas such as: small group guide, small group assistant, short-term project assistance, etc.

Volunteer Age Group

Check any group(s) that you would be willing to volunteer with:

Preschool 1

Preschool 2

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Other:

Comments

Additional Information/Comments

A copy of your responses will be emailed to the address you provided.

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