Trinity Lutheran Church 2019-2020 Program Registration
Please fill one form out per child.
For more information about our programs, visit
or contact Adam Anderson at
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
Student's Last Name
Programs that Student will participate in (check all that apply)
Sunday School (Preschool-6th Grade), No Charge
Lil' Kid Play Days (3 years old - Kindergarten), No Charge
WASS (2nd -4th grade), No Charge
5th and 6th Grade Group, No Charge
Confirmation (7th-9th Grade), $15
High School Youth Forum/Group (9th-12th Grade), No Charge
Student's Birth Date
What grade will the student be in during the 2019-2020 school year?
3 Year Old
Guardian's Phone Number
Check the box if you are able to receive text messages (texts will be sent for cancellations and other important messages)
I can receive text messages.
Guardian's most checked/used email
Emergency Contact and relation to child (can not be the same as the guardian listed above)
Emergency Contact's phone number
Please list any known allergies, the reactions and the recommended treatment
Please list any other medical conditions or relevant information about your child you'd like us to know
Please enter Insurance Company and Policy Number:
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):
I would like to teach or be a substitute.
I would like to donate craft supplies.
I would like to donate snacks.
For Wednesday night suppers, I'd like to either; cook a meal, bring a dessert or help serve.
I'd like to be contacted by the church to learn about more ways that I can contribute my time and talents.
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This form was created inside of Trinity Lutheran Church.