Sunday School Registration

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: *

Child's Age: *

Child's Birth Date: *

Child's Name *

First

Last

Child's Gender *

Child's Age *

Child's Birth Date *

Child's Name: *

First

Last

Child's Gender *

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? *

Comment *

Food Allergies: *

Does your child require a special diet? *

Comment *

Submit

Gloria Dei Sunday School Registration Form (one per family)Gloria Dei Lutheran Church, Cedar Rapids, IA Phone (319) 396-2641

Medical Information:

Gloria Dei Sunday School Registration Form (one per family)
Gloria Dei Lutheran Church, Cedar Rapids, IA Phone (319) 396-2641