2024-2025 RLC Youth & Children's Ministry Registration

As we begin a new program year, please help us update your child or youth's contact information by updating their information for the 2024-2025 school year. Please fill out one form per child/youth. Questions? Contact Victoria Hoppes at victoria@rlcindy.org.
 
Participant Information

 
 
Please select one option.
 
 
 
 
 
 
 
 
 
 
 
FOR YOUTH MINISTRY (Grades 6-12) PARTICIPANTS: We occassionally communicate reminders and invitations to events directly with students in FaithBuilders (grades 6-8) and Youth Group (grades 9-12.) Please provide your student's contact information if we have permission to communicate with them via phone call, text, or email. All students who are permitted to receive emails and/or text messages will be automatically signed up for our email and text message lists.
 
 
Please select one option.
Please select one option.
Parent/Guardian Information

 
 
 
 
 
We occassionally send reminders and information about children's and youth ministry events. Please let us know if you would like to opt-in to receive these specific reminders.
Please select one option.
Please select one option.
 
 
 
 
 
We occassionally send reminders and information about children's and youth ministry events. Please let us know if you would like to opt-in to receive these specific reminders.
Please select one option.
Please select one option.
Emergency Contact Information

 
 
 
Permissions and Releases

Image/Video Release: By selecting "YES" on the below Photo Release, you are authorizing Resurrection Lutheran Church to use images and/or video of the registered participant in Resurrection publications per the Photo and Video Privacy Policy.
Please select one option.
Consent and Release: By selecting “YES” on the below Consent and Release, you grant permission for the participant to fully engage in children's and youth ministry activities at Resurrection Lutheran Church.

Please select one option.
Medical Release: In the event of an emergency and I cannot be reached, I give permission for the supervising Resurrection Lutheran Church staff member or the available adult leader(s) to provide the necessary and immediate medical treatment of the participant. I give permission to those administering emergency treatment to do so using those measures deemed necessary. I furthermore absolve those acting on my behalf in this regard from liability as long as there is not gross negligence.

Please select one option.
FOR NURSERY (ages 4 and under) PARTICIPANTS: I give permission for the on-duty nursery staff to change my child's diapers.
Please select one option.

Description

As we begin a new program year, please help us update your child or youth's contact information by updating their information for the 2024-2025 school year. Please fill out one form per child/youth. Questions? Contact Victoria Hoppes at victoria@rlcindy.org.