Sunday School Sign-up

As we gather for worship…

SUNDAY SCHOOL SIGN-UP

Please complete and return this sheet so that we can update our Sunday school records for our 2017-2018 school year. Teachers and staff will use this information in case of an emergency or to contact you to let you know of any upcoming events.

We are requesting that all sheets be turned in to your child’s Sunday school teacher or to Tammy Wilkinson, Children’s and Family Ministry Coordinator, by Sunday, September 24, 2017.

Please feel free to call with questions you may have, 651-484-4144. Thank you for your cooperation as we are preparing for the upcoming Sunday school year.

"*" indicates required fields

Student's Info

How Many Children?*

Student's Name (1)

First Last

Birth Date

MM slash DD slash YYYY

School

School Year Grade

Student's Name (2)

First Last

Birth Date

MM slash DD slash YYYY

School:

School Year Grade

Student's Name (3)

First Last

Birth Date

MM slash DD slash YYYY

School

School Year Grade

Student's Name (4)

First Last

Birth Date

MM slash DD slash YYYY

School

School Year Grade

Student's Name (5)

First Last

Birth Date

MM slash DD slash YYYY

School

School Year Grade

Any Allergies?

Parent's Info

Address

Street Address City State ZIP Code

Mother's Name*

First Last

Mother's Email

Mother's Phone

Father's Name*

First Last

Father's Email

Father's Phone

Emergency Contact

First Last

Emergency Contact Phone

Names of others authorized for child pick up

First Last

Consent

PARENTAL CONSENT AND RELEASE FOR PUBLISHING OR SHOWING MINOR CHILD’S STILL OR MOVING IMAGE

Prince of Peace Lutheran Church of Roseville, Minnesota 55113

I, the parent/guardian of child(ren) listed above understand that from time to time, still or moving images obtained during the activities at Prince of Peace, or under its direction, are later presented in various church-sponsored media. These include, but are not limited to: photographic prints, brochures, newsletters, handbooks, websites, webcasts, video productions, television programs, and other publications. This form notifies you that those meetings, events, and activities (including worship) are considered public, and images and recordings from such meetings, events, and activities are used in the above-listed media. On occasion, a child’s image may be singled out and used as an identifiable image. Such images may portray that child’s participation in activities such as music, children’s ministry, or youth ministry. We ask that you sign the waiver below to grant permission for us to use your child’s image where he or she is not part of a larger group. You may selectively grant permission by initialing next to each format below. I release Prince of Peace from any liability for any injury or action resulting from the use of images of the above-named minor in any medium. Prince of Peace will not be responsible for unauthorized reproduction, display, distribution or modification of the minor’s image in any manner, nor will Prince of Peace be responsible for defamation, misrepresentation, or criminal acts by any unauthorized use of any image.

You have my permission to use my child’s individual image(s) in the following media:

Displayed still pictures*

Yes

Newsletters*

Yes

Brochures*

Yes

Handbooks*

Yes

Websites*

Yes

Webcasts or Video Productions*

Yes

Television programs*

Yes

Other Prince of Peace publications*

Yes

First name may be associated with picture*

Yes

Today's Date*

MM slash DD slash YYYY

Signature*

This field is for validation purposes and should be left unchanged.

Sunday School Sign-up

SUNDAY SCHOOL SIGN-UP

Student's Info

Parent's Info

Consent

PARENTAL CONSENT AND RELEASE FOR PUBLISHING OR SHOWING MINOR CHILD’S STILL OR MOVING IMAGE

Prince of Peace Lutheran Church

2561 Victoria Street North, Roseville, MN 55113

Get Directions

651-484-4144

Office@PoPRoseville.org

The Prince of Peace front office is open Monday – Thursday;
8am – 4pm.