Reformation Sunday School Registration
**Please complete one registration per child.**

Join us on Sunday, September 10, for Rally Day! Sunday School classes are offered for all ages! Complete registration now:

Name of Student *
Your answer
Birth date *
MM
/
DD
/
YYYY
Age *
Your answer
Grade (current) *
Your answer
Allergies, known medical conditions, and/or special needs *
Your answer
Parent/Guardian 1 Name *
Your answer
Parent/Guardian 2 Name
Your answer
Address *
Your answer
Phone numbers (indicate preferred) *
Your answer
Email *
Your answer
Emergency contact person and phone number in case parents can't be reached. *
Your answer
I give permission to post my child's photo: (check all that apply) *
Required
I understand that for the safety and security of students, the parents/guardians will be asked to SIGN IN AND SIGN OUT their children with the classroom teacher. Please initial. *
Your answer
Names of individuals (other than those named above) who have my permission to pick up my child. *
Your answer
I have received, read, and agree with the "Behavior Covenant" for students. (Copies are available on the church website.) Please initial *
Your answer
A copy of "Safety for Children and Youth at Reformation Lutheran Church" is available upon request.
Your answer
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