Request edit access
Education registration {2019-20}
Please complete this form for each child you are registering for Sunday School and/or Midweek classes.
Email address *
Student's name *
Your answer
Parents/guardians *
Your answer
Primary phone number *
Your answer
Address *
Your answer
Child's date of birth *
MM
/
DD
/
YYYY
Grade going into this fall *
For 5th and 6th grade students only, please check which class you are enrolling in
Is there anything you would like us to know about about your child that would limit his/her participation in education classes?
Your answer
Does your child have any health problems, such as allergies, that you would like us to be aware of?
Your answer
Please provide us with a name and phone number of an emergency contact (other than parents/guardians)
Your answer
Does Bethany Lutheran have your permission to take pictures of your child and use in church publications (such as newsletter, Facebook and church website) *
Thank you for registering. Please let us know if you have any additional questions or concerns. You can contact the Board of Family Ministry at familyministry@bethanykaukauna.org
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service