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Participant Registration

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St. Mark Lutheran Church

Location

1822 E. Grand Ave.

Lindenhurst, IL 60046

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Contact Denise Schaufel and Melissa Grandt:

847-340-6386 Denise

stmarksunschool@gmail.com

First, Tell Us About Yourself:

Parent Information

Welcome! Thank you for registering your child for an exciting year of Sunday school at St. Mark! We are looking forward to meeting and learning about our amazing God with all of you!

**Please remember to provide your full name and date in the Attendance, Photo/Media Waiver and Medical Treatment permission fields at the end of the Participant information list. You must fill these out for your registration to be complete. If you choose not to have your child photographed or in videos, please just type "I do not give permission," and then add your name and date.

Important Dates:

Rally Day and the 1st day of Sunday School is Sunday, September 8th! At 9:20 am, PARENTS and STUDENTS will meet upstairs in the EDUCATION CENTER to kick-off our exciting year of learning and serving. Students will be able to meet their teachers and view their classrooms. We will then move to the fellowship hall in the church for treats and games.

Note that children will be allowed into their classrooms no earlier than 9:10 am. Children ages 3 through 2nd grade must be signed in and out of their classrooms each week.

If you have any questions, please contact the Sunday school coordinator at stmarksunschool@gmail.com.

Cheerfully serving.

Denise Schaufel and Melissa Grandt

First Name

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Last Name

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Address 1

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Address 2

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City

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State/Province

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ZIP/Postal Code

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Contact Phone 1

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Contact Phone 2

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Emergency Contact Name

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Emergency Contact Relationship

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Emergency Contact Phone

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St. Mark member?

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Would you like information on membership?

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Tell Us About Your Participant

**Please remember to provide your full name and date in the Attendance, Photo/Media Waiver and Medical Treatment permission fields at the end of the Participant information list. You must fill these out for your registration to be complete. If you choose not to have your child photographed or in videos, please type "I do not give permission," and then add your name and date.

First Name

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Last Name

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Gender

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Date Of Birth

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Grade Entering

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Is your child baptized?

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Baptismal date

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Please list any Allergies or Medical Concerns

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Physician's name

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Physician's phone

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Please provide your full name and date. Participation Authorization: I hereby give my consent for my minor child to participate in the 2024/2025 St. Mark Lutheran Church Children's Ministries.

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Please provide your full name and date. Photo Media Waiver: I hereby give St. Mark Lutheran Church, Lindenhurst, IL, consent to take photographs and/or videos of my child for promotional purposes in print, on the St. Mark Lutheran Church website, app, private Facebook page or in the news media for the 2024/2025 Sunday school year.

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Please provide your full name and date. Family Authorization and Consent to Emergency Medical Treatment: Being the parent or legal guardian of the enrolled minor child, I do consent to any medical, surgical, x-ray, anesthetic or dental treatment that may be deemed necessary for my minor child during the 2024/2025 Sunday school year. I understand that efforts will be made to contact me prior to treatment but, in the event I cannot be reached in an emergency, I give permission to the Sunday school coordinators to make the necessary decisions for treatment. Should there be no coordinator available, I give permission to the attending physician to treat my minor child. As parent or legal guardian, I understand that I am responsible for the health care decisions of my minor child and agree that my insurance plan is the primary plan to pay for the medical, dental or hospital care or treatment that is given to my minor child. Any insurance policy of the church or organization sponsoring this event will be used as the secondary coverage.

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Please let us know anything about your child that will help this year be fantastic!

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Allergies

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Medical Concerns

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