Trinity Lutheran Church 2019-2020 Program Registration
Please fill one form out per child.

For more information about our programs, visit http://www.trinityhayfield.com/ or contact Adam Anderson at aanderson@trinityhayfield.com or 507-477-2248

By submitting this form, you accept that in the case of an emergency, Trinity will secure any medical treatment deemed necessary.
Student's First Name *
Your answer
Student's Last Name *
Your answer
Programs that Student will participate in (check all that apply) *
Required
Student's Birth Date *
MM
/
DD
/
YYYY
What grade will the student be in during the 2019-2020 school year? *
Home Address *
Your answer
Guardian's Name *
Your answer
Guardian's Phone Number *
Your answer
Check the box if you are able to receive text messages (texts will be sent for cancellations and other important messages)
Guardian's most checked/used email *
Your answer
Emergency Contact and relation to child (can not be the same as the guardian listed above) *
Your answer
Emergency Contact's phone number *
Your answer
Please list any known allergies, the reactions and the recommended treatment
Your answer
Please list any other medical conditions or relevant information about your child you'd like us to know
Your answer
Please enter Insurance Company and Policy Number:
Your answer
Please check the box below for permission to use any pictures taken (without names) in the church newsletter, website, and social media.
To help keep our program costs low and to use your gifts, please consider volunteering in one of the following ways (check all that apply):
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