Sunday School Registration 2021-2022
I agree to give permission for my child to fully participate in all activities relating to Sunday School 2021-2022.

In case of emergency, I understand that every effort will be made to contact parent(s), guardian(s), or other relatives listed below. If these contacts cannot be reached, I hereby give the staff and appointed volunteers of First Lutheran Church permission to act on my behalf in seeking emergency treatment for my child/me in the event that such treatment is deemed necessary. I give permission to those administering emergency treatment to do so, using those measures deemed necessary. I understand that First Lutheran Church is not responsible for related injuries that may occur during this event.
Name of Participant
Grade Level of Participant
Date of Birth of Participant
MM
/
DD
/
YYYY
Parents/Guardians
Mailing Address
FLC sends information about upcoming events, concerns, weather related information and other program notes through email and text messages.
Home Phone
Parent 1 Cell Phone
Parent 2 Cell Phone
Parent Email
Do you give permission for your child's picture to be used on social media, monthly publication (The Messenger), Sunday School projects, bulletins, etc.? *
If parent or guardian is not available, please call relative below: Emergency Contact Name
Emergency Contact Relation to Child
Emergency Contact Phone Number
Any allergies or reactions?
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