2022-23 Church School

Church School is open to all children ages 3-5th grade. Please complete one form per child.
For more information about church school, contact Joanne Zastrow jzastrow@gslcwi.com

Child Information

Please complete one form for each child.

Name

Address

Phone

*This number will be used in case of an emergency.

This address will receive a confirmation email

*This email will be used for Church School communication.

Grade

Please select one option.

No Grade Pre-Kindergarten Kindergarten 1st 2nd 3rd 4th 5th

Please select your child’s grade for the 2022/2023 school year. If your child is in 3 year old preschool, please select, “No Grade”. If your child will be in 4K, please select, “Pre-Kindergarten."

Birthdate

Consent to Photography Use

Please select all that apply.

Yes No

*for congregational purposes

Medical Concerns/Allergies

Please select all that apply.

Yes

Please explain

Learning or Emotional Considerations

Please select all that apply.

Yes

Additional Information

Parent Information

First Parent Name

Email (if different from above)

Address (if different from above)

First Parent Phone (If different than above)

Second Parent Name

Second Parent Email

Address (if different from above)

Second Parent Phone

Church School Options

Please select all that apply.

Madison Sun. 9:00 a.m. Verona Sun.10:30 a.m.

Volunteer Opportunities

Please select one option.

Music Helper Teacher (1-2x/month) Welcome Host

My 3rd-5th grader has permission to check themselves out of class.

Please select one option.

Yes No

I consent that my child has permission to participate in all children's ministry activities, under supervision. Good Shepherd Lutheran Church and its personnel will not be held responsible for accidents or personal injury arising there from.

Please select all that apply.

Yes

Signature (Type Name)

*By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this registration form.

Description

Church School is open to all children ages 3-5th grade. Please complete one form per child.
For more information about church school, contact Joanne Zastrow jzastrow@gslcwi.com

2022-23 Church School

Description

Please Fix the Following