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Sunday School Registration
Parent's Name *
Your answer
Parent's Cell Phone *
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Parent's Email *
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Address *
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Child's Name *
Your answer
Grade *
Child's Date of Birth *
MM
/
DD
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YYYY
Are there any special needs we need to be aware of? (i.e. food allergies, physical/mental challenges, learning disabilities, first time away from home, custody arrangements, etc.) If yes, please specify *
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Who should we call in an emergency, if we cannot reach a parent or guardian?
Name *
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Phone *
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Is there anyone who specifically does NOT have permission to pick up your child?
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I give permission to St. Matthew's Lutheran Church to use photographs of my child in its public display or media releases. I understand that these photos will not be sold or used for commercial purposes.
Electronic Signature *
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