Please list any allergies (medication, food or environmental) of which we should be aware of:
*
Your answer
Child # 2
Please list any allergies (medication, food or environmental) of which we should be aware of:
Your answer
Child # 3
Please list any allergies (medication, food or environmental) of which we should be aware of:
Your answer
Child # 1
Please list any other medical or behavioral concerns of which we should be aware of:
*
Your answer
Child # 2
Please list any other medical or behavioral concerns of which we should be aware of:
Your answer
Child # 3
Please list any other medical or behavioral concerns of which we should be aware of:
Your answer
FOR 6th -12th GRADE YOUTH MINISTRY PARTICIPANTS ONLY:We occasionally communicate reminders and invitations to events directly with students in Alpha (grades 6th - 8th) Luther League (9th -12th). Please provide your student's contact information if we have permission to communicate with them via phone call, text, or REMIND APP. All students who are permitted to receive text messages or messages on Remind, will be automatically signed up for our "Remind" and text message lists.