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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 2011-2012 school year


Confirmation
Wednesday evenings September 2011 through May 2012


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

     

As a parent, I would be interested in...

Check all that apply

    Helping in Classroom

    Substitute teaching

   Help with crafts

   Help with youth events



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