EPLC CYF Sign Up
Hello! Please fill out all parts of this form to register!

Class Info/Times:

BLAST (Grades 1-4) meets Wednesdays from 6-7pm
Pathfinders (Grades 5-6) meets Wednesdays from 6-7pm
Confirmation (Grades 7-8) meets Wednesdays from 7-8pm
Agape Ministry (High School) meets Wednesdays from 8-9pm (attendance not mandatory)

Sunday School is drop-in for all ages, Sundays between the 9am and the 11am services.

If you are registering multiple children, please fill out a separate form for each!

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What is the child's full name, age, and grade in school?
What is the child's birthday?
Please provide the child's email, if applicable.
Please provide a name, relationship, email address, and phone number for the child's first guardian.
Please provide a name, relationship, email address, and phone number for the child's second guardian (if applicable).
Please provide a name, relationship, and phone number for one emergency contact.
What is your family's full home address?
Does your child have any allergies, special needs, or concerns? If yes, please explain.
Edison Park Lutheran Church has my permission to use photos/images of my child on their website, promotional materials, and social media sites.
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