Sunday School 2016-2017

Complete one (1) form per family. If you have more than three (3) children, please complete a second form.

Parent/Guardian Last Name *
Parent/Guardian First Name(s) (Example: Dan and Rebekah) *
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Primary Phone
(number at which we are most likely to reach you) * - (###) - ### ####
Alternate Phone
(in case we can't reach you at your primary number) - (###) - ### ####
Primary Email
(email address to which we can send important information) *
Child's Name * First Last
Date of Birth * / MM / DD YYYY
Child's Name First Last
Date of Birth / MM / DD YYYY
Child's Name First Last
Date of Birth / MM / DD YYYY
Allergies/Health Concerns (If none, enter "none.") *
Alternate Pick-up (authorized to transport child/children) * First Last
Alternate Pick-up Phone
(number at which we are most likely to reach this person) * - (###) - ### ####
Alternate Pick-up Relationship to Child/Children *
Consent for Use of Photos
I give my consent for Calvary Lutheran Church to use photos of my child/children for publicity purposes including, but not limited to website, newsletter, bulletins, bulletin boards and brochures. * Yes No
Parent Volunteer Opportunities
Check any/all areas in which you would be willing to help out.
Thanks for your support of our program! :) Christmas Program Teach/Co-Teach Sunday School Education Committee Coffe Hour Education Committee Soup Supper Vacation Bible School Special Projects as Needed