Youth Ministry Registration Form

Welcome! If you have a child or youth in grades pre-K - 12 who will be participating in programming at Holy Trinity Lutheran Church, please complete this form for each child.
 
 
 
 
Please select one option.
Please select one option.
Parent or Guardian Information

 
 
 
 
 
 
Emergency Contact

Emergency Contact
 
 
Emergency Contact if parents cannot be reached:
 
 
 
 
 
 
 
Medical Information

Medical Information:
 
 
 
 
 
Permissions/Acknowledgements

Please select all that apply.
Please select one option.
Please select all that apply.
By submitting this form, I acknowledge my support for the mission and vision of youth programming at HTLC. I understand the importance of partnering with staff and volunteers as they create a safe, nurturing, and faith filled environment for all children. I will work together with staff/volunteers to help my child grow in their relationship with the Triune God and the community.
By entering my name in the box below, I am providing my digital signature on this Youth Ministry Registration Form.
 

Description

Welcome! If you have a child or youth in grades pre-K - 12 who will be participating in programming at Holy Trinity Lutheran Church, please complete this form for each child.