REVEAL KIDS REGISTRATION 2021-2022
Please fill out the form below to register your child for Reveal Kids at 11:00am. Each child must be registered separately. Any questions, please contact Dan Plattner at 708-243-8362 (call or text) or email kids@tlcs.org. Reveal Kids begins September 12th.
Student Last Name *
Student's First Name *
Parent's Name *
Street Address *
City, State, & Zip *
Parent's Email Address *
Parent's cellphone number *
Student's Age *
Student's Date of Birth *
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DD
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YYYY
Student's Gender *
Student's Grade in School 2021-2022 *
School Attending
Please indicate any special needs your child has, such as medications, allergies, or learning disabilities or write the word "none." *
Has your student been baptized? *
Required
Family Church
Emergency Contact Name and Phone # *
Would you like to volunteer to help with Reveal Kids?
Clear selection
If so, name and contact information:
Permission to Photograph: Trinity Lutheran Church will, on occasion, take photographs for use on our website or social media platforms. We need your permission to publish a photograph or image of your child(ren) in any church-sponsored publication, including but not limited to church brochures, video recordings, church newsletters, and the church website as well as newspapers, television promotions, and/or the Internet. This permission is valid until revoked. I may revoke this permission at any time by notifying in writing the Director of Children's Ministries. *
Any other information we should know pertaining to your child:
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