Sunday School Registration 2023-24
Sunday School runs September - May, 9:45-10:45 Sunday mornings.
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Student's Name *
Birth Date *
MM
/
DD
/
YYYY
Age *
Grade (current) *
Allergies, known medical conditions, and/or special needs
Parent/Guardian 1 Name *
Parent/Guardian 2 Name
Address *
Preferred Phone Number *
Alternate Phone Number
Email *
Emergency Contact Name and Phone Number (if parent/guardian cannot be reached) *
I give permission to use my child's photo in: 
(check all that apply)
I understand that for the safety and security of students, the parents/guardians will be asked to SIGN IN AND SIGN OUT their children with the classroom teacher. Please initial. *
Names of individuals (other than those named above) who have my permission to pick up my child
I have received, read, and agree with the "Behavior Covenant" for students. (Available here: https://relcmedia.org/vacation-bible-school/rlc-behavior-expectations-3/) Please initial. *
A copy of "Safety for Children and Youth at Reformation Lutheran Church" is available upon request.
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