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Faith and Fun 2018-2019 Enrollment Form
Please fill out one form for each student you wish to enroll. All information is kept confidential and is for Trinity Lutheran Church's use ONLY.

NEW for 2018-2019!! We are asking families for a $50/child donation to help defray bus costs. After filling out the registration form, you'll be asked how you'd like to provide your donation. If you are not able to pay this cost, please contact Liz Miller or Pr. David Weinhold and we'd be glad to assist your family with this donation request!

We're looking forward to a great year!

Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Date of Birth *
Your answer
Student's Favorite Snack *
Your answer
Student's School *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Parent Name *
First & Last
Your answer
Phone Number *
(between 2:00 and 5:00 on Wednesdays)
Your answer
Parent/Guardian Primary Email Address *
Your answer
Alternate Contact *
Your answer
Alternate Phone *
(different number from above - between 2:00 and 5:00 on Wednesdays)
Your answer
Allergies, Medical Conditions, Medications
Your answer
What grade will your student will be entering for the 2018-2019 school year? *
Required
Other than "Parent" or "Alternate Contact," who may be picking up your child from Faith and Fun? (please update this throughout the year) *
Your answer
Additional Comments
Please feel free to contact us with any questions - (814) 623-8813.
Your answer
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