Pilgrim Lutheran Church 2019-2020 Faith Formation Registration
Email *
Student First Name *
Student Last Name *
Preferred Name
Pronouns *
Required
Grade for 2019-2020 *
Three-year-olds may choose either the Lambs class or Pre-K Sunday School
Student's School (if applicable)
Student Phone
Student Email
Caregiver #1 First Name *
Caregiver #1 Last Name *
Caregiver #1 Street Address *
Caregiver #1 City *
Caregiver #1 State *
Caregiver #1 Zip *
Caregiver #1 Phone *
Caregiver #1 Email *
Caregiver #2 First Name
Caregiver #2 Last Name
Caregiver #2 Street Address
If caregivers 1 & 2 have the same street address, this section can be skipped.
Caregiver #2 City
Caregiver #2 State
Caregiver #2 Zip
Caregiver #2 Phone
Caregiver #2 Email
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact Phone *
Emergency Contact Email *
Is your child interested in joining a choir? *
If yes, which choir?
Clear selection
Is your child interested in Deep Dive Confirmation?
Clear selection
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