East Side Lutheran Church | Education at East Side

Activity Signup Form Authorization by Parent or Guardian: By completing this signup form you agree to give permission for your child to participate in any activity planned by the East Side Lutheran Church Children's Ministry program. East Side Lutheran Church may use any pictures or videos that your child appears in for promotional purposes. I also authorize delivery of necessary emergency care available medical personnel. A $10 donation per child for supplies is suggested.
Child's Name:
Address:
Address Line 2:
City:
State:
Zip Code:
Phone Number:
Date of Birth:
Mother's Name:
Father's Name:
Email address:
Emergency Contact Name:
Emergency Contact Phone Number:
Check one box below Member Participant
Sunday School or Wednesday Night Church School or VBS Grade in 2009-2010 school year
Confirmation Wednesday evenings September 2009 through May 2010
Select 1 of the following: Sunday School 9:15-10:30 a.m. Sunday School Pre School - Grade 6 Sunday School 9:30-10:30 a.m. Sunday School Grades 7-12 Wednesday Church School 6:45-7:45 p.m. For K thru 6th Grade 2010 VBS High Seas Expedition June 20-24 6-8:30 PM As a parent, I would be interested in... Check all that apply Helping in Classroom Substitute teaching Assisting with the VBS Bringing Treats
Allergies/ Disabilities/ Comments: