Easter for Kids Registration Form
Name *
ex:Smith, Timothy and Sara
Your answer
Address *
Your answer
City, State, Zip *
ex. Kiel, WI 53042
Your answer
Phone Number *
ex. 920-555-1234
Your answer
Email Address *
Your answer
Student's Name *
ex. Smith, Anna
Your answer
Student's Birthdate *
ex. 12/02/2010
Your answer
Grade Student is in now *
ex. 3k, 4k, K, 1st, 2nd, 3rd, 4th
Your answer
If your child has an allergy or medical condition, please indicate and explain below.
Your answer
Emergency Contact
First & Last Name and phone number ex. Tamera Smith 920-555-8754
Your answer
How did you learn of Easter for Kids?
Check all that apply
I give permission for my child's photo to be included on the EFK we page for Trinity Lutheran School. *
Children's name will NOT be used on website. Mark only one box
Required
Need to register another Child?
Mark only one box.
Student's Name
Your answer
Student's Birthdate
Your answer
Grade Student is in
Your answer
If your child has an allergy or medical condition, please indicate and explain below.
Your answer
Need to register another child?
Mark only one box
Student's Name
Your answer
Student's Birthdate
Your answer
Grade Student is in
Your answer
If your child has an allergy or medical condition, please indicate and explain below.
Your answer
Submit
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