Wednesday School Sign-up

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We are excited to welcome your family to Wednesday School!! Please complete this form so we can prepare and place your child(ren) in the right group.

Parent/Guardian Information

Name(s):

Address:

Preferred Contact Method (phone/email) Please provide email/phone #:

Student Information (one section per child)

Child's Full Name:

Grade:

Date of Birth:

YYYY

Allergies/Special Needs:

Emergency Contact (if different):

Emergency Phone:

Child's Full Name:

Grade:

Date of Birth:

YYYY

Allergies/Special Needs:

Emergency Contact (if different)

Emergency Phone:

Child's First Name:

Grade:

Date of Birth:

YYYY

Allergies/Special Needs:

Emergency Contact (if different):

Emergency Phone:

Child's Full Name:

Grade:

Date of Birth:

YYYY

Allergies/Special Needs:

Emergency Contact (if different):

Emergency Phone:

Child's Full Name:

Grade:

Date of Birth:

YYYY

Allergies/Special Needs:

Emergency Contact (if different

Emergency Phone:

Program Options

Elementary (Grades 1-5)

Confirmation (Grades 6-8)

Youth Group (Grades 9-12)

Family Participation

We believe faith grows when families are involved. Please let us know how you can help. *

Provide/sponsor a meal

Lead/Assist in a classroom

Help with crafts/activities

Assist with set-up/clean-up

Special Event Planning Committee

Donate Supplies

Required

Permissions

I give permission for my child to participate in Wednesday School activities at River of Life Lutheran Church.

I give permission for photos/videos of my child to be used in church materials (bulletin, website, social media, etc.)

Parent/Guardian Signature:

Date:

YYYY

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