Christmas for Kids at St. John's Lutheran, Newburg, WI
Please fill out one of these registration sheets for each participant you are sending.
Saturday, December 15, 12-4 p.m.
For children PK4-4th grade
Participant Name *
Your answer
Age *
Name of Parents or Guardians [Please also list any others who will or might be picking up your child(ren).] *
Your answer
Home Address *
Street Address, City, State, Zip
Your answer
Phone Number *
Your answer
E-mail address
Your answer
Who should we contact in case of an emergency? *
Name and phone number
Your answer
Church Home (if any) *
Your answer
Are there any medical concerns we should know about (allergies - including food, medical conditions, etc.)?
Your answer
If you have questions or notes to add to any of the above information please share here.
Your answer
The children will receive a free lunch.
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