LWF Sunday School & Awana Registration

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Please fill out this form once for each child you are registering.

Child's First Name *

Child's Last Name *

Please select which program(s) you would like to register for: *

Sunday School (all ages of children)

Awana (K-6)

Cubbies (Preschool Class - Must be 4 years old)

Required

Home Mailing Address *

City *

State *

Zip Code *

Best Family Phone Number *

Gender *

Date of Birth *

YYYY

Grade Entering *

What church do you attend? (Optional)

Allergies/Medical Conditions

Parent/Guardian Name(s) *

Parent/Guardian Cell Phone *

Parent/Guardian Secondary Phone (Optional)

Parent/Guardian Email

Emergency Contact Name (other than parent) *

Emergency Contact Phone *

Please list siblings attending: (Optional)

Please list individuals authorized to pick up child from Awana: *

Is there any other information that we should be aware of? (Optional)

I hereby give permission for my child to attend and participate in the ministries of Living Word Lutheran Brethren Fellowship and designate church officials to act on my behalf in authorizing routine and/or emergency medical care. I also agree to hold harmless Living Word Lutheran Brethren Fellowship for any and all claims for injuries, causes for action, or liability related to the facilities or activities. I further authorize Living Word Lutheran Brethren Fellowship to use photos or videos taken of my child during ministry events for promotional purposes. *

Please type your name to verify that you agree to the above terms and conditions of attendance. *

Submit

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