Sunday School Registration 2017-2018

Parent #1 Name *
First Name
Middle
Last Name
Parent #1 Cell (or Home Phone if no cell)*
Parent #1 Email*
Parent #2 Name
First Name
Middle
Last Name
Parent #2 Cell (or Home phone if no cell phone)
Parent #2 Email
_____________________________
Child #1 Full Name*
Birthdate*
Gender *
Grade *
Is this child baptized?*
Health or Allergy Alerts
If yes, please provide pertinent information:
_____________________________
Child #2 Full Name
First Name
Middle
Last Name
Birthdate
Gender
Grade
Baptized
Health/Allergy Alerts
If yes, please provide pertinent information:
I give St. John Lutheran Church, the right and permission to use my son/daughter’s photograph(s) in its promotional material and publicity efforts. I understand that the photograph(s) and video (s) may be used in publications, print ads, direct mail pieces, electronic media (video, internet, Facebook, etc.) or other forms of promotion. I release St. John Lutheran Church, the photographer, their offices, employees, agents, and designees from liability for any violation of any personal or proprietary right I may have in connection with such use.
Typing your name below indicates you agree to the above liability waiver/release. Your typed name represents your signature. If you do not agree, please type NO. *
First Name
Middle
Last Name
Today's Date*