Immanuel Sunday School Registration Form 2016-2017
Please complete a separate form for each of your children
Student First Name
Your answer
Student Last Name
Your answer
Birthday
MM
/
DD
/
YYYY
Student Grade Level in the fall
Allergies
Please list all
Your answer
Other health concerns or special needs
Please list all
Your answer
Parent 1 Name
First and Last
Your answer
Parent 1 Cell Phone
Your answer
Parent 2 Name
First and Last
Your answer
Parent 2 Cell Phone
Your answer
Home Phone
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Preferred Email Address
We use email for parent communications about upcoming events and schedule changes. If you prefer communications be sent to more than one email address please list both.
Your answer
Emergency Contact Name
Your answer
Emergency Contact Relationship
Your answer
Emergency Contact Phone
Your answer
Parent Volunteer Availability *
Parents are encouraged to volunteer in Sunday School ministries. Please choose one or more of the following volunteer opportunities you would like to learn more about
Required
Notice to Parents and Parent Consent regarding Immanuel website and facebook page
Immanuel Lutheran Church periodically posts event photos and videos on our website and/or facebook page. We do not publish names or ages of the children in the photos/videos. Parents may request photos/videos be removed from the website or facebook page for any cause by contacting the Director of Christian Education.
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