2016-2017 Christian Education Registration Form
Peace Lutheran Church
PO Box 655
Dresser, WI 54009

Please complete one registration form for your family and submit it electronically or if you print a pdf format please return it to the Welcome Center any time before or on Rally Sunday, September 18th. Children must be 4 years of age by September 1st, 2016 to participate. Sunday School is provided for a recommended donation of $15/child or $30/family. Please consider sponsoring a child or family through donations.
No one will be turned away!

Sunday morning Christian Education opportunities for all ages
(Each class meets Sunday morning from 9:35am – 10:35am)

Nursery Provided for Sunday School teachers/helpers, Adult Education and Adult Choir members
SPARK Sunday School for 4 year olds (PreK) through 4th graders
CLUB56 Sunday School for 5th and 6th graders
NEW!! IGNITE! Sunday morning 7th and 8th grade Youth Group
SONday Sunday morning discussion and service group for 9th – 12th graders
Adult Education Classes led by our Pastor, lay led Scripture Class, Bible Studies, etc.

Parent or Guardian Details
Parent or Guardian Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
ZIP
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email address
Your answer
Parent or Guardian Name
Your answer
Street Address (if different from above)
Your answer
City
Your answer
State
Your answer
ZIP
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email address
Your answer
Child's Details
Child’s Name
Your answer
Nickname
Your answer
Grade
Your answer
Street Address (if different from above)
Your answer
City
Your answer
State
Your answer
ZIP
Your answer
Allergies
Your answer
Special Needs
Your answer
Birthdate
MM
/
DD
/
YYYY
Has your child been baptized? (Date)
Received First Communion?
In the event of an emergency, we at Peace Lutheran Church will take appropriate steps to ensure your child’s safety. If necessary, 911 will be called and you will be notified of the emergency.

I authorize emergency medical personnel to treat my child in the event of an emergency in which I cannot be reached.

Please select Yes or No
Children in Club56, IGNITE!, or SONday Servants may attend offsite ministry opportunities and will be transported on the church bus or by Sunday School teachers. You will be notified of such opportunities through the Tidings or through emails prior to the event.

I give permission for my child(ren) to be transported.

Please select Yes or No
Date
MM
/
DD
/
YYYY
I give permission for photographs to be taken and posted on our church website and other display or promotional materials.
Please select Yes or No
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