2021-2022 Reformation Sunday School Registration
**Please complete one registration per child.**

Join us on Sunday, September 12, for Rally Day!

Use this form to register children up to entering grade 6.

Sunday School will be held outside (behind the building near the playground). Sunday School will be held in Creighton Hall in case of inclement weather. Masks are required.

Contact Pastor Alina (pastoralina@relcmedia.org) with any questions.
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Name of Student *
Birth date *
MM
/
DD
/
YYYY
Age *
Grade (current) *
Allergies, known medical conditions, and/or special needs *
Parent/Guardian 1 Name *
Parent/Guardian 2 Name
Address *
Phone numbers (indicate preferred) *
Email *
Emergency contact person and phone number in case parents can't be reached. *
I give permission to post my child's photo: (check all that apply) *
Required
I understand that for the safety and security of students, the parents/guardians will be asked to SIGN IN AND SIGN OUT their children with the classroom teacher. Please initial. *
Names of individuals (other than those named above) who have my permission to pick up my child. *
I have received, read, and agree with the "Behavior Covenant" for students. (Copies are available on the church website.) Please initial *
A copy of "Safety for Children and Youth at Reformation Lutheran Church" is available upon request.
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