Saints & Sinners Registration

Saints & Sinners are the handbell and vocal choirs for our 7th-12th grade students. Rehearsals go from 6-7:30 pm on Thursday evenings. Handbells go from 6-6:45 pm, with choir going from 6:45-7:30 pm. All 7th-12th graders are welcome to join! For more information, contact Mr. Schaner at mschaner@stlukeslutheran.org.

Saints & Sinners Registration 2022-2023

STUDENT INFORMATION
Student Name*
First Last
Preferred Name
Date of Birth
MM slash DD slash YYYY
Age
Grade
Gender
Ensembles
Please choose both ensembles, bells, or choir
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
CONTACT INFORMATION
Parent/Guardian 1
First Last
Relationship to Student
Parent/Guardian 1 - Email
Parent/Guardian 1 - Phone
- Texting available
- Texting not available
Parent/Guardian 2
First Last
Relationship to Student
Parent/Guardian 2 - Email
Parent/Guardian 2 - Phone
- Texting available
- Texting not available
Student Lives With:
Emergency Contact
Name 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 student
Emergency Contact's Phone
Who has permission to pick your child up from events/activities?
EMERGENCY INFORMATION
Allergies
Please list any allergies (food or other):
Medical Concerns
Please list any medical concerns that could affect the student while participating in events with the group:
Learning Conditions
Please 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

St. Luke's Lutheran Church

An ELCA Congregation in Waukesha, Wisconsin

Saints & Sinners Registration

Saints & Sinners Registration 2022-2023

STUDENT INFORMATION

CONTACT INFORMATION

EMERGENCY INFORMATION