Christ Lutheran Church Sunday School Registration Form 2024-2025
189 Burr. Rd, East Northport, NY 11731
Child's Name
First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Child's Name
First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Child's Name
First Name
Last Name
Date of Birth
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Month
-
Day
Year
Date
Baptismal Date
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Month
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Day
Year
Date
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Emergency Contact Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
I can help with Sunday School by:
Examples: substitute teaching, songs, Christmas pageant or organizing a community outreach activity/drive.
Any Allergies or Medical Conditions?
Yes
No
Please give details
Has child(ren) attended Sunday School before?
Yes
No
Do you want to add something about your child?
I, undersigned, agree with the following statements:
I am the parent/guardian of the child indicated above.
If emergency medical care is needed and I am unavailable, I authorize the supervising teacher to seek medical treatment for my child.
I am giving my permission to take my child's pictures for classroom projects and post them on the church website, church Facebook page and church Instagram page.
I can give a donation to help defray the cost of Sunday School materials for the year. (suggested donation: $25)
Date
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Month
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Day
Year
Date
Signature
Submit
Submit
Should be Empty: