Immanuel Lutheran Church Sunday School Registration

Immanuel Lutheran Church Sunday School Registration

Please fill out the form separately for each child you are enrolling.
Child's Name *

First Name Middle Name Last Name
Birth Date *

Month Day Year
Gender
Grade your child will attend in the fall
Parent(s) Name *

First Name Last Name
Preferred Email Address
example@example.com
Mailing Address *

Street Address

Street Address Line 2

Town/City Zip Code
Emergency Contact Telephone Number *

Area Code Phone Number
Allergies/Special Circumstances
Should be Empty: