Trinity Youth Faith Formation Registration
Please fill out the following to register for Sunday School, Confirmation and youth events. You can enroll all your youth on one document!
First Student Name
First Name
Middle Name
Last Name
First Student's Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
First Student's Gender
Please Select
Male
Female
N/A
First Student's Grade for 2019-2020 School Year
First Student's Allergies/Special Needs
Is the First Student Baptized?
Yes
No
I would like to be contacted about baptism
Second Student's Name
First Name
Last Name
Second Student's Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
2nd Student's Gender
Male
Female
N/A
Second Student's Grade for 2019-2020 School Year
Second Student's Allergies/Special Needs
Is the Second Student Baptized?
Yes
No
I would like to be contacted about baptism
Third Student's Name
First Name
Last Name
Third Student's Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Third Student's Gender
Male
Female
N/A
Third Student's Grade for 2019-2020 School Year
Third Student's Allergies/Special Needs
Is the Third Student Baptized?
Yes
No
I would like to be contacted about baptism
Fourth Student's Name
First Name
Last Name
Fourth Student's Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
4th Student's Gender
Male
Female
N/A
Fourth Student's Grade for 2019-2020 School Year
Fourth Child's Allergies/Special Needs
Is the Fourth Student Baptized?
Yes
No
I would like to be contacted about baptism
First Guardian's Name
First Name
Last Name
First Guardian's E-mail Address
First Guardian's Phone Number
-
Area Code
Phone Number
First Guardian's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Second Guardian's Name
First Name
Last Name
Second Guardian's Email Address
example@example.com
Second Guardian's Phone Number
-
Area Code
Phone Number
Second Guardian's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have Medical Insurance?
Insurance Company Name
Policy #
Physician Name, Clinic/Hospital
Media Release Statement: By agreeing with the statement below, I, hereby grant, voluntarily and with full understanding, to Trinity Lutheran Church, a license to the following: 1. Use and storage of my (or my child’s) image, by means of digital or film photography, video photography, audio recording or other documentation, with respect to the activity of Church for which I am registering. 2. Use of any stored data including my (or my child’s) image in printed publications of Church. 3. Use of any stored data including my (or my child’s) image in electronic publications or social media accounts of Church. 4. Use of any stored data including my (or my child’s) image in any Web site created by or for Church. 5. Storage of my (or my child’s) name in association with any image, but not permission to use such images in any public setting unless I specifically authorize Church to do so. 6. If I am entering this agreement on behalf of a minor child, I hereby warrant that I am the legal parent or guardian of the child and that I have the legal authority to enter this agreement on behalf of the child. 7. If a dispute over this agreement or any claim for damages arises, I agree to resolve the matter through a mutually acceptable alternative dispute resolution process.
*
Agree
Disagree
In consideration for the child being accepted by Trinity Lutheran Church, for participation in youth trips/activities, we, being the parent(s) or legal guardian(s) of the undersigned child, do release and agree to hold harmless Trinity Lutheran Church, Madison and its chaperones, employees, agents, representatives, and board members from any and all liability, claims, damages, or demands for personal injury, as well as damage and expenses (including reasonable attorneys fees), of any nature that may be incurred by the parent/guardian and child/participant while the child is participating in the above described trip or activity or in connection with or resulting from such trip or activity, including transportation to and from the above described trip or activity.
*
Agree
Disagree
We give our permission to Trinity Lutheran Church to furnish any necessary transportation, food and lodging for the above listed youth and for him/her to participate fully in such trip/activity and give our permission and consent to transportation of the undersigned child to a doctor, hospital, or other medical provider and authorize medical treatment, including but not limited to emergency surgery or medical treatment, and assume the responsibility of all medical bills, if any.
*
Agree
Disagree
I'm interested in serving in ministries with children, youth, and families. *
Yes
No
How do you prefer to be contacted for youth events?
Email
Text
Mail
Other
If you prefer to be texted, what is your phone carrier?
Additional Comments
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