St Luke's Youth Census

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Where Faith & Life Connect

Parent or Legal Guardian's Name *

Parent or Legal Guardian Email *

Parent or Legal Guardian Phone Number *

Your Child's First and Last Name *

Your Child's Preferred Name *

Your Child's Preferred Pronouns

Your Child's Birthdate *

Your Child's Age and Current Grade in School *

Your Address *

Your Child's Email Address *

If we cannot reach you, whom shall we contact in case of emergency? (Name and Phone Number) *

Has your child been baptized? *

Yes

Has your child been confirmed? *

Yes

If your child has been baptized and/or confirmed, please list the dates and location(s) below.

May your child have a snack during class? *

Yes

Dietary restrictions or Food Allergies *

None

Vegetarian

Vegan

Gluten-free

Other:

Are you interested in volunteering or providing snacks for your child's classroom? *

Volunteering

Providing Snacks

Being Involved In Other Ways. Please Specify:

Not at this time

Other:

Please check if interested in any of the below for your child: *

Godly Play, PreK-5th Grade, Sunday Mornings 9:45, (joining the church service at The Peace)

Youth Faith Formation, Grades 6-8, Sunday Mornings 9:45, (joining the church service at The Peace)

Youth Faith Formation, Grades 9-11, Sunday Mornings 9:45, (joining the church service at The Peace)

Corporate Communion Class, 3rd and 4th Grade, Spring 2024, Sunday mornings 9:45

A Rite 13 Celebration, for those 13 years old, weekend of November 4th and 5th

Confirmation Program, Grades 9-11, Winter/Spring 2024, 11:45-1:00

Other:

Required

Please check all ministries in which your child is interested

Joining (or continuing in) the choir

Reading a lesson (serving as a lector) during worship

Becoming a Greeter

Becoming an Usher

Becoming an Acolyte

Getting involved in St. Luke's feeding ministries and outreach

Participating in the Youth Group

Becoming a storyteller or reader for Godly Play (available to High School Juniors and Seniors)

Please list any special concerns of which your child's teacher should be aware (health problems, custody issues, etc.)

Please indicate below whether you give St. Luke's Episcopal Church permission to photograph your child and post their picture solely for the church's website, Facebook page, and other promotional material. Please note that St. Luke's Episcopal Church will never publish a child's name with any of its publications. *

Yes, I give St. Luke's Episcopal Church permission to photograph my child and use the photograph(s) as described above.

No, I do not give St. Luke's Episcopal Church permission to photograph my child or use photographs of my child in the manner described above.

As we work on designing our Youth Faith Formation programs for the year, we recognize how important it is to incorporate your child's interested into what we create. What are some of your child's interests, hobbies and talents?

Has your child participated in Youth Faith Formation programs in the past? If so, what were some of their favorite things about it?

What are your hopes for your child and their involvement in Youth Faith Formation at St. Luke's?

Please note any questions or comments here. Thank you. We look forward to welcoming your child to Youth Faith Formation soon!

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