Sunday School Registration

Mom's Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Email Address

Dad's Name

Last Name

Street Address (if different)

Address Line 2

City

State

Zip Code

Phone Number

Email Address

Other Contact (if applicable)

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Email Address

Please check best way(s) to contact: *

Child(ren)'s Information

	Name	Age	Grade	Birthdate
1	Name	Age	Grade	Birthdate
2	Name	Age	Grade	Birthdate
3	Name	Age	Grade	Birthdate
4	Name	Age	Grade	Birthdate
5	Name	Age	Grade	Birthdate
6	Name	Age	Grade	Birthdate

Special Needs/ Food Allergies/ Medical Conditions:

I hereby grant permission for my child(ren) to be included in pictures, promotional material and publications at Faith Lutheran Church. This includes but not limited to the FLC website and FLC Facebook page. Parent/ Guardian Signature *

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