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2017 - 2018 Sunday School Registration
Registration for Sunday school - One form needed per family
Email address
Student Information
First Name (1)
Your answer
Last Name (1)
Your answer
Date of Birth (1)
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Grade entering in the Fall (1)
School: (1)
Your answer
Special Needs/Additional Info: (1)
Your answer
Student (2)
First Name (2)
Your answer
Last Name (2)
Your answer
Date of Birth (2)
MM
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DD
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YYYY
Grade entering in the Fall (2)
School: (2)
Your answer
Special Needs/Additional Info: (2)
Your answer
Student (3)
First Name (3)
Your answer
Last Name (3)
Your answer
Date of Birth (3)
MM
/
DD
/
YYYY
Grade entering in the Fall: (3)
School: (3)
Your answer
Special Needs/Additional Info: (3)
Your answer
Student (4)
First Name (4)
Your answer
Last Name (4)
Your answer
Date of Birth (4)
MM
/
DD
/
YYYY
Grade entering in the Fall: (4)
School: (4)
Your answer
Special Needs/Additional Info:(4)
Your answer
Student (5)
First Name (5)
Your answer
Last Name (5)
Your answer
Date of Birth (5)
MM
/
DD
/
YYYY
Grade entering in the Fall: (5)
School: (5)
Your answer
Special Needs/Additional Info:(5)
Your answer
Primary Contact Information
Name(s):
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Street Address:
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City:
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State:
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Zip Code:
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Phone:
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Cell:
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Email:
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Contact Information (2)
Name(s): (2)
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Street Address: (2)
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City: (2)
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State: (2)
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Zip Code: (2)
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Phone: (2)
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Cell: (2)
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Email: (2)
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***Are Text Messages/iMessages accepted for communication?
***Are Emails accepted for communication?
Emergency Contact
Name:
Your answer
Phone/Cell Phone
Your answer
Parent's or guardian's home church
Required
Special Information
Your answer
Secondary Home Information (Would you like communication-mailings, emails, etc to go to the secondary home?):
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Special needs, allergies, or medical problems that would be helpful for your child's teacher(s) to know about or that will aid in a positive experience for you and your child
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Any other information that would be helpful for us to know?
Your answer
Saint John Lutheran Church
633 Willow Ave
Council Bluffs, IA 51501
(712) 323-7173
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