Sunday School Family Information Form
St. Peter's Ev. Lutheran Church - Mishicot


*Please note*
This form is required to be filled out separately for EACH child being signed up.
Email *
Child's Name (First & Last) *
Grade in 25-26 School Year *
Age *
Date of Birth *
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Gender *
Child's Allergies *
Child's Medications *
Parents' Names *
Home Phone *
Cell/Alternate Phone *
Address *
Email Address *
Parent's Marital Status *
Home Church *
Synod/Affiliation *
If not a member at St. Peter's, are you interested in becoming a member?
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In event of a life-or-death emergency, your child will be taken to the nearest emergency facility. By enrolling your child in St. Peter's Lutheran Sunday School, you consent to assuming all medical costs. *
Required
Children MUST be taken to AND picked up from their Sunday School CLASSROOM by parents or a designated adult (age 18 or over). Which adult(s) has/have permission to do so?
Please list names and relation to child.
 *
Photos of Sunday School students may be used in advertisements and publications, printed and electronic media. Student images may be included as part of worship services distributed on DVD or Facebook. Children's names are never used.

Do we have permission to use your child's picture?
 *
Required
Please indicate if we may use your email address to forward information about Sunday School during the school year: *
Parent (electronic) Signature *
Date *
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A copy of your responses will be emailed to .
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