Sunday School Registration

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent 1 Name

First Name

Last Name

Parent 1 Phone

(###)

###

####

Parent 2 Name

First Name

Last Name

Parent 2 Phone

(###)

###

####

Service Normally Attend

Check all that apply.

8:00

9:30

11:11

Allergies?

Yes

No

I give All Shepherds Lutheran Church the permission to photograph my child and use his or her picture solely for the church’s website, Facebook and/or Instagram page. All Shepherds Lutheran Church will never publish a child’s name with any of its publications.

Yes

No