• • Parent/Guardian Name *
    
    First
    
    Last
• • Address *
    
    Street Address
    
    Other Address (optional)
    
    City
    ...AlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNova ScotiaOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukon Territory
    State/Province
    
    Zip/Postal Code
    
    Region (optional)
    ...United StatesCanadaJapanUnited KingdomAustraliaGermanyFranceSwitzerlandItalyNetherlandsAlbaniaAlgeriaAmerican SamoaAndorraAnguillaAntarticaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBotswanaBouvet IslandBrazilBritish Indian Ocean Terr.Brunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslColombiaComorosCongoCook IslCosta RicaCote D'IvoireCroatiaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEstoniaEthiopiaFaeroe IslandsFalkland Isl. (Malvinas)FijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern Terr.GabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernsey C.I.GuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsle of ManIsraelItalyJamaicaJapanJersey C.I.JordanKazakhstanKenyaKiribatiKorea Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLiechtensteinLithuaniaLuxemborgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslMartiniqueMauritaniaMauritiusMexicoMicronesiaMoldova Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherland AntillesNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslNorthern Mariana IslNorwayOmanPakistanPalauPanamaPanama Canal ZonePapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts & NevisSaint LuciaSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Pierre and MiquelonSt. Vincent & GrenadinesSurinameSvalbard & Jan Mayen IslSwazilandSwedenSwitzerlandTaiwanTajikistanTanzania United RepublicThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslTuvaluU.A.E.U.S.Minor Outlying IslUgandaUkraineUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Isl (British)Virgin Isl (U.S.)Wallis & Futuna IslandsWestern SaharaYemen Republic ofZaireZambiaZimbabwe
    Country
• • Parent/Guardian Email *
    
    
• • Please choose the semester(s) you are available to teach. * Each class will have a team of 4 teachers. Each semester has 13-14 teaching Sundays. Each teacher will teach 6-7 Sundays and will coordinate their schedule with their team.
    First Semester: September 9, 2012 - December 23, 2012
    Second Semester: January 6, 2013 - June 2, 2013
    
• • First Child's Name *
    
    First
    
    Last
• • First Child's Age *
    
    
• • First Child's Grade (for 2012-2013 school year) *
    
    
• • First Child's Birthdate *
    
    
• • Special concerns (learning issues, allergies, etc.)
    
    
• • Second Child's Name
    
    First
    
    Last
• • Second Child's Age
    
    
• • Second Child's Grade (for 2012-2013 school year)
    
    
• • Second Child's Birthdate
    
    
• • Special concerns (learning issues, allergies, etc.)
    
    
• • Third Child's Name
    
    First
    
    Last
• • Third Child's Age
    
    
• • Third Child's Grade (during the 2012-2013 school year)
    
    
• • Third Child's Birthdate
    
    
• • Special concerns (learning issues, allergies, etc.)
    
    
• • Fourth Child's Name
    
    First
    
    Last
• • Fourth Child's Age
    
    
• • Fourth Child's Grade (during the 2012-2013 school year)
    
    
• • Fourth Child's Birthdate
    
    
• • Special concerns (learning issues, allergies, etc.)
    
    

• • Children's Ministries Notes

    Each class will have a team of 4 teachers (2 needed per Sunday) that will coordinate their schedule for the semester. Children’s Ministries families are asked to pledge to Saint Luke's Parish general operating budget, as the Children’s Ministries budget is derived from the general operating budget. Sunday morning programs begin at 9:50 a.m. unless otherwise specified. Teachers arrive at 9:30 a.m. to set up their room. There is a teacher meeting every Sunday in the chapel at 9:40 a.m. Families are invited to worship together four Sundays during the year and holiday Sundays; children are invited to go to the chapel for a story telling during the sermon on holiday Sundays. Childcare is provided for children every Sunday (7:45 a.m. – 11:30 a.m.).

• • Photography Permission
• • I (parent or guardian) * Type your name in the text box.
    
    hereby grant Saint Luke’s Parish and its staff permission to use photographs of my child(ren), taken at Saint Luke’s events for the purpose of publicity and community life (i.e. brochures, newsletters, photo collages, Parish website, etc.) without names or location mentioned. In the event that this decision changes, I will contact Sarah Moden-Alliston to make my preference known. Children’s Ministries Office 203-655- 1456 X120.

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