Sunday School Registration
St. Matthew's Lutheran Church 2018-2019
Parents'/Guardians' Names: *
Your answer
Parent Phone: *
Your answer
Family Email: *
Your answer
Address: *
Your answer
Student Name: *
Your answer
Grade *
Birthdate *
Your answer
Are there any special needs we need to be aware of? (i.e. food allergies, physical/mental challenges, learning disabilities, first time away from home, custody arrangements, etc.) If yes, please specify *
Your answer
Emergency Contact Information
Who should we call in an emergency, if we cannot reach a parent or guardian?
Name of Emergency Contact *
Your answer
Emergency Contact Phone Number *
Your answer
Is there anyone who specifically does NOT have permission to pick up your child?
Your answer
I give permission to St. Matthew's Lutheran Church to use photographs of my child in its public display or media releases. I understand that these photos will not be sold or used for commercial purposes.
Please type your name to agree with this statement
Your answer
Date: *
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