2018-2019 Children's Ministries
Sunday School and Wednesday Night ministry registration form
Email address *
Child's Name *
Your answer
Child's Birth Date *
MM
/
DD
/
YYYY
Current Grade *
Your answer
School
Your answer
My Child will participate in: *
Required
Does the child listed above have siblings attending Sunday/Wednesday ministries?
If you selected yes to the above question, please list the names of each sibling below:
Your answer
Child's Address *
Your answer
Home Phone #
Your answer
Cell Phone #
Your answer
Name(s) of Parent(s)/Guardian(s) *
Your answer
Emergency Contact (please list their name, relationship to the child, and their phone number)
Your answer
List all allergies or medical conditions the child might have
Your answer
How can we, as a faith family, bless you and your family?
Your answer
I hereby (select one) grant or do not grant permission for New Hope/Riverside Lutheran to use my children's pictures for promotional purposes. *
Parent/Legal Guardian Permission: Please type your name below which indicates approval of this registration form. *
Your answer
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