This registration form can be used for Young Adult Bible Study and Adult Bible Study Classes.

Personal and Contact Information

Name of Participant

Birthdate (00/00/00)

Sex

Male

Female

Cell Phone

Home Phone

You may contact me by text message.

Primary Email Address

Additional Email (If you would like information sent to more than one email)

Street Address

City

State

Zip

Cell Phone (Include Area Code)

Home Phone (Include Area Code)

Work Phone (Include Area Code)

Emergency and Medical Information (Must have at least one emergency contact and minors must have two emergency contacts.)

Emergency Contact #1 Name

Home Phone (Include Area Code)

Cell Phone (Include Area Code)

Do you have any medical conditions or allergies we should know about? If so, please specify.

Please specify

Permission and Consent

Submission of this consent form, by an individual or parent of an individual child, gives permission to Christ the King Lutheran, its staff and agents to seek whatever medical attention is deemed necessary, and releases the church and its staff of any liability against personal losses of named individual or child.

I understand and I agree

I do not agree

Name of person giving or denying consent. (If under 21, consent must be given by parent/guardian)

Date (00/00/00)

I agree or I, the legal parent/guardian of the above child, do hereby agree to appear or have my child appear in photographs, videos and/or recordings of Christ the King Lutheran Church activities and agree to have my my or my child's likeness used by the church and its agents for the purpose of public relations, advertising and general publicity for the church including, but not limited to digital, video and audio reproduction of my or his/her likeness.

I give my consent.

I do not give my consent.

Name of person giving or denying consent.

Date (00/00/00)

Gspl Txt Ministry

I would like to be included, and/or have my child included, in the Gspl Tst Ministry.

Note: Text messages are sent by the Youth and Family Minister on weekday evenings at 8:30PM and on other occasions when the need arises. These messages contain a Bible quote or another quote with references to scripture. Prayer requests are also available and will be sent to the entire group (includes adults and children in several states). Please make sure to include the name of any family member who would like to be included in this ministry, their cell number and the service provider--i.e. AT & T, Verizon, etc.

Family Member's Name Cell Number Provider

Getting Involved

The effectiveness any ministry is dependent upon the involvement of the congregation. Please consider giving of your time and talents.

I would like to . . .
Choose as many as you like.

If we haven't list your gift, please describe.

Please type what you see below.
captcha

Indicates Response Required

be a Sunday School Rotational Sunday School Teacher (Grades PreK-5th).	be a Sunday School Shepherd (Grades PreK-4th).
help by baking on occasion.	be a Confirmation Guide.
help with administrative or office tasks.	use my carpentry skills or handyperson skills.
sew.	be a Sunday School/Confirmation snack coordinator for Sunday mornings.
help with art projects, computer graphics or marketing.	teach the high school Bible class on occasion.
participate in drama productions, dramatic presentations or readings.	play an instrument.
play in the "King's Ringers" bell choir (7th grade-adults).	play in "King's Chimmers" (2nd-6th grades)).
offer my gifts as a soloist. (either instrumental or vocal)	sing in the adult choir, "King's Choir" (grade 7th through adult).
sing in the children's choir, "Cherubs" (grades preschool-2nd grade).	sing in the youth choir, "King's Kids" (grades 3rd-6th)
participate in the 5th/6th Grade Youth group.	participate in the 7th/8th Grade Youth Group.
participate in the Senior High Youth Group.	act as a 5th/6th Grade Youth Group Coordinator/Leader.
act as a 7th/8th Grade Youth Group Coordinator/Leader.	enjoy the fellowship of the Young Adults Group (ages 21-29)
enjoy the fellowship of Single Adults. (ages 30 plus)	You haven't listed the gift I would like to share. I would like to . . .