Student Registration Form
SUNDAY SCHOOL REGISTRATION
Please Check the Sunday School time you prefer:
Sunday morning 9:30 –10:45am ____ Wednesday evening 6:15 –7:15pm ____
Grade (Please circle): 3yr 4yr K 1 2 3 4 5 (one per child)
(Register student in the grade he/she will enter this fall. Children must be 3 yrs. old prior to September 1, 2011.)
No fee for Sunday School, however donations are welcome to help with the cost of materials & supplies.
Student’s full name _______________________________________Name used __________________
Home address_______________________________________________ Male □ Female □
_______________________________________________ Birthdate: _____/_____/______
month day year
Phone number ___________________________________
Baptized: No □ Yes □ (date) _____/_____/______(place)________________________________
E-mail address: ____________________________________________________ please circle:
(where you would like to receive Sunday School information) (mother or father’s e-mail) (mother’s or father’s email)
a Father’s Name ________________________________________Member of First Lutheran: Yes □ No □
Address ________________________________________ Phone number ________________________
(if different than above)
________________________________________
Place of Employment __________________________________ Phone number ________________________
a
Mother’s Name ________________________________________Member of First Lutheran: Yes □ No □
Address ________________________________________ Phone number ________________________
(if different than above)
________________________________________
Place of Employment __________________________________ Phone number ________________________
Any medical condition or special needs we should be aware of:
__________________________________________________________________________________________
In Case of Emergency, Contact: __________________________________ Phone ___________________
IMPORTANT: Please list other siblings and their grade registered for: