East Nidaros Lutheran Youth Registration
Welcome!
Youth education is Sunday mornings at 9:30 with Worship following. This form will need to be filled out separately for each child you are registering. There will be a link at the end of the registration to go back and submit another student.
God Bless!
Student's First Name *
Your answer
Student's Last Name *
Your answer
Date of Birth
MM
/
DD
/
YYYY
Student's Grade Level (2018-2019 school year) *
Mother's First Name *
Your answer
Mother's Last Name *
Your answer
Address (Please include city, state, and zip) *
Your answer
Home Phone
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Best way to contact: *
Father's First Name *
Your answer
Father's Last Name *
Your answer
Address (If different than above)
Your answer
Home Phone
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Best way to contact: *
Emergency Contact *
Your answer
Phone *
Your answer
Relationship to Child
Your answer
Allergy or Medical Concerns
Your answer
Listed below are volunteer opportunities for the year ahead. Please let us know how you can help with our youth education! (Check all that interest you.) *
Required
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