Sunday School Child Registration 2025

Parent Information

Parent Name

This address will receive a confirmation email

Phone

Address

Child #1

Name

Birthday

Any Allergies?

Any Medical Needs?

Child #2 (Optional)

Name

Birthday

Any Allergies?

Any Medical Needs?

Child #3 (Optional)

Name

Birthday

Any Allergies?

Any Medical Needs?

Child #4 (Optional)

Name

Birthday

Any Allergies?

Any Medical Needs?

Child #5 (Optional)

Name

Birthday

Any Allergies?

Any Medical Needs?

Child #6 (Optional)

Name

Birthday

Grade

Any Allergies?

Any Medical Needs?

***** NOTE: Parents of 3rd graders we now have an option of giving your child a Dyslexia Bible in place of the Bible we have been giving our 3rd graders. If your child would be better suited for one of these, please let us know.*****

Parents Comments or Request

Statements of Release

*By entering my name in the box above, I am providing my digital signature on this Form.

I agree to release Shepherd of the Pines Lutheran Church and its volunteers of all liability in the incident of any accidents or injuries which I or any member of my family may incur during any on or off premises Church activity. I give my permission for emergency medical treatment if I cannot be immediately contacted. I give permission to have photos and videos of my child on the church’s website, social media, and publications. Note: Shepherd of the Pines will never publish a child’s name with any of its publications.

Electronic Signature*

Sunday School Child Registration 2025

Description

Please Fix the Following