2025-2026 Sunday School Registration Sunday School 2025-2026 "*" indicates required fields STUDENT INFORMATIONStudent Name* First Last Preferred NameDate of Birth MM slash DD slash YYYY AgeGradeGenderMaleFemalePrefer not to sayAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country CONTACT INFORMATIONParent/Guardian 1 First Last Relationship to StudentParent/Guardian 1 – Email Parent/Guardian 1 – Phone Texting available Texting not available Parent/Guardian 2 First Last Relationship to StudentParent/Guardian 2 – Email Parent/Guardian 2 – Phone Texting available Texting not available Student Lives With:Both ParentsGuardiansMother OnlyFather OnlyFoster ParentsMother & StepparentFather & StepparentOtherEmergency ContactName of someone that can be contacted in an emergency, should one of the people listed above not be available. First Last Emergency Contact's relationship with studentEmergency Contact's PhoneWho has permission to pick your child up from events/activities?EMERGENCY INFORMATIONAllergiesPlease list any allergies (food or other):Medical ConcernsPlease list any medical concerns that could affect the student while participating in events with the group:Learning ConditionsPlease list any conditions that could affect the student while participating in events with the group:Consent*In checking the “consent” box, I agree to the following: 1. I am legally able to consent for the above named youth to participate in this event. 2. I consent to my youth, as named above, to participate in this event. I understand that participation in this activity carries risks such as accidental injury and/or death. 3. I hereby fully release and discharge all claims that I may have for injuries or damages to me, against St. Luke’s Lutheran Church and other participating congregations, its officers, agents, servants, employees, pastor and affiliates as a result of participating in this activity. 4. I grant permission for leaders and participants of this trip to take photographs of me in connection with this activity and to use and/or publishing of the same in print and/or electronically. I agree that such photographs of me, with or without names may be used for any lawful purpose, including such purposes as publicity, illustration, promotion, and web content, including social media. – unless notice to the contrary is given in written form with this document. 5. I authorize leaders and chaperons traveling with and/or leading this event to consent to any necessary examination, anesthetic, medical diagnosis, surgery, or treatment and/or hospital care rendered to me under the general or special supervision and on the advice of any physician or surgeon licensed to practice medicine by the state or country in which they practice, during this activity. I understand and agree Δ
