Cantáre Registration

Youth Information
Name *
Name
Birthdate *
Birthdate
Grade student will enter in the fall.
Youth Cell
Youth Cell
Permission to send my child text messages
Household Information
Parent/Guardian 1 *
Parent/Guardian 1
Cell *
Cell
Parent/Guardian 1
Parent/Guardian 2
Parent/Guardian 2
Cell
Cell
Parent/Guardian 2
Primary Household Address *
Primary Household Address
Permission
Media Release *
I understand that video and/or photographs of my child may be used in Lutheran Church of the Good Shepherd publications, including the website.
Emergency Information
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone