2023 - 2024 RLC Youth & Family Ministry Registration and Covenant Forms
As we begin a new program year, please help us update your child/ren's contact information by updating their information for the 2023-2024 school year.  Please fill out the form by Sept. 12th.  If you have multiple children please fill out the whole form for child one and then fill in the child information and hit submit form for your other children.   You do not need to answer all of the questions again.   Questions?  Contact Tammy Snoke at rlc.youthandfamily@gmail.com  
Sign in to Google to save your progress. Learn more
Participant Information
Child # 1 Full Name:  *
Child # 2 Full Name:
Child # 3 Full Name:
Address: *
Home Phone Number: *
Child # 1 
Date of Birth: 
MM
/
DD
/
YYYY
Child # 2  
Date of Birth: 
MM
/
DD
/
YYYY
Child # 3 
Date of Birth: 
MM
/
DD
/
YYYY
Child #1  Grade during the  2023-2024  School Year
Please select one option.
Child #2  Grade during the 2023-2024  School Year
Please select one option.
Child # 3  Grade during the 2023-2024  School Year
Please select one option.
Child # 1  
School attending during the 2023-2024 School Year
Child # 2  
School attending during the 2023-2024 School Year
Child # 3  
School attending during the 2023-2024 School Year
Child # 1 
Please list any allergies of which we should be aware of:
 *
Child # 2 
Please list any allergies of which we should be aware of:
 *
Child # 3
Please list any allergies of which we should be aware of:
Child # 1
Please list any other medical or behavioral concerns of which we should be aware of:
Child # 2
Please list any other medical or behavioral concerns of which we should be aware of:
Child # 3
Please list any other medical or behavioral concerns of which we should be aware of:
FOR YOUTH MINISTRY PARTICIPANTS: We occasionally communicate reminders and invitations to events directly with students in Alpha (grades 5th - 8th) Luther League (9th -12th).  Please provide your student's contact information if we have permission to communicate with them via phone call, text, or email.  All students who are permitted to receive emails and/or text messages will be automatically signed up for our email and text message lists.  We use the Remind app.

Child # 1 
Youth Email Address:
Child # 2 
Youth Email Address:
Child # 1 
Youth Phone Number:
Child # 2 
Youth Phone Number:
Child # 3
Youth Phone Number:
I give permission for my student/s to receive EMAILS about church-related activities: *
I give permission for my student/s to receive PHONE CALLS about church-related activities. *
I give permission for my student/s to receive TEXT MESSAGES about church- related activities. *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms