Program Registration

9:00/SS     9:00 AM Sunday School Program Age 3—Grade 5
9:00/NUR   9:00 AM Nursery Birth—Age 2
10:30/NUR 10:30 AM Nursery Birth—Age 2
MWM         4:30 - 5:30 p.m. Midweek Markers Children's Education Age 3—Grade 5
                 ("Adventure Club" for ages 3 through Grade 3; "Team 45" for Grades 4-5)

Please list anything we should know (food allergies, etc.) along with child's name:
Child's Name:
Information: 

Child's Name:
Information: 

Child's Name:
Information: 

I give permission for the following persons to pick up my children from Church:
 

Release Form:
I give permission for my children listed above to participate in Church activities. I also grant permission to adults involved in these programs to secure emergency medical treatment from a qualified doctor in the event I cannot be contacted. I agree to hold the Diocese of Chicago, St. Mark's and any associated agencies and persons free and waive any claims for payment for accident, injury, disability or damages to the person or property of aforementioned child arising out of, or connected with, his/her participation in the activity connected with St. Mark's.

I agree with the above Release Form. (check the box to indicate agreement)
Name of parent filling out form:
Emergency phone number: Health Insurance: Yes  No

I will volunteer for:

Substitute Teacher     December 12 Special Event
Nursery Caregiver       Crafts - choose any grade / any amount of time - this is a huge help!
MWM Helper

Please double-check your registration information,
then click the SUBMIT button below.

Thank you for registering!