St. Peter Lutheran Nursery School Registration Form
Information needed to complete this form: Parents' contact information including employment details, at least 2 emergency contacts along with their phone #s and addresses, and up to 2 additional authorized pick-up persons if desired. You will also need to list your child's doctor, address, and phone #.
Child's last name *
Child's first name *
Name child goes by
Date of birth *
MM
/
DD
/
YYYY
Gender
Clear selection
Street address *
City *
State *
Zip code *
Landline phone # (if applicable)
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