2017/2018 Sprout Registration
A ministry program of Our Savior's Lutheran Church and School for children ages 2-3 years old!
Child's Name *
Your answer
Child's Age *
Your answer
Child's Birthday *
MM
/
DD
/
YYYY
2017/2018 Sprout Class Registration *
Required
Mother's Name *
Your answer
Mother's Phone Number *
Your answer
Father's Name *
Your answer
Father's Phone Number
Your answer
Emergency Phone Number and Contact Relationship *
Your answer
Home Address *
Your answer
Email for Parent Communication *
Your answer
Any known allergies? If so what medication?
Your answer
We love photos! Your Sprout teacher will often send you photos of the day or special events. Please acknowledge that you allow Our Savior's Lutheran Church and School to use your child's photo's for parent communication as well as website and social media publications. *
I give permission to Our Savior's Lutheran Church and School to apply sunscreen to my child as seen needed. *
Required
I understand that I am financially responsible for the Sprout program tuition of $120 for the one day a week or $240 for the two day a week regardless of attendance. I understand that there are no refunds regardless of planed or un-planed attendance. I understand that in order for my child to attend the Sprout Program that my tuition must be paid in full by the first of the month prior to attendance. I understand that late or unpaid tuition will result in being placed on the Sprout waiting list or possible drop from the program. I understand that I must turn in a $50 registration fee in order for my registration to be considered complete. *
Required
I understand that in order to complete my Sprout Registration I must provide payment. I understand that I must pay by clicking on the following link and provide an electronic payment method. LINK: https://tinyurl.com/hxqvtos * *
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