GLORIA DEI LUTHERAN CHURCH
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Gloria Dei Sunday School Registration Form
(one per family)
Gloria Dei Lutheran Church, Cedar Rapids, IA
Phone (319) 396-2641
Parents and legal guardians of minor children are asked to either download and complete the
PDF form
and return it to church, or complete and submit the online form below.
Sunday School Registration Form PDF
General Information (please print)
*
Indicates required field
Child's Name
*
First
Last
Child's Gender:
*
Male
Female
Child's Age:
*
Child's Birth Date:
*
Child's Name
*
First
Last
Child's Gender
*
Male
Female
Child's Age
*
Child's Birth Date
*
Child's Name:
*
First
Last
Child's Gender
*
Male
Female
Child's Age
*
Child's Birth Date
*
Parent/Guardian(s) Name(s):
*
Street Address:
*
City, State, Zip
*
Primary Phone Number:
*
Alternate Phone Number:
*
Home Email Address:
*
I will pick up my child at their classroom at conclusion of class. I authorize the following individuals to pick up my child:
*
Check all that apply
*
I give my child permission to leave the classroom on their own at the conclusion of class
I give permission for my child's picture to be used on our Church Website and Facebook page.
Comments:
*
Medical Information:
Allergies:
*
Does your child have any physical condition or illness that would prevent him or her from participating in the regularly scheduled activities?
*
Yes, If yes, please explain below
No
Comment
*
Food Allergies:
*
Does your child require a special diet?
*
Yes (If yes, please explain)
No
Comment
*
Submit
Home
About Us
Church Staff
Contact Us
Map and Directions
Council Members
Ministries
>
EWALU Bible Camp
Companion Synod
Stephen Ministry
Weekly Announcements and Newsletter
Tidings Newsletter
Gloria Dei Calendar
Worship
Worship YouTube Videos
Worship Music
Youth
BLaST
Pre-confirmation
Middle School Youth
>
Confirmation
High School Youth
Get Connected
Growing in Faith
Giving