Sunday School / Wednesday LIGHT Registration 2020-2021
I agree to give permission for my child to fully participate in all activities relating to Wednesday LIGHT and/or Sunday School 2020-2021.

In case of emergency, I understand that every effort will be made to contact parent(s), guardian(s), or other relatives listed below. If these contacts cannot be reached, I hereby give the staff and appointed volunteers of First Lutheran Church permission to act on my behalf in seeking emergency treatment for my child/me in the event that such treatment is deemed necessary. I give permission to those administering emergency treatment to do so, using those measure deemed necessary. I understand that First Lutheran Church is not responsible for related injuries that may occur during this event.
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What are you registering for? *
Required
When we can return to "in person" worship, would you be comfortable with your student attending  "in person" activities? *
Required
Name of Participant
Grade Level of Participant
Date of Birth of Participant
MM
/
DD
/
YYYY
Parents/Guardians
Mailing Address
FLC sends information about upcoming events, concerns, weather related information and other program notes through email and text messages.

Home Phone
Parent 1 Cell Phone
Parent 2 Cell Phone
Parent Email
If parent or guardian is not available, please call relative below:  Emergency Contact Name
Emergency Contact Relation to Child
Emergency Contact Phone Number
Any allergies or reactions?
Parent or Guardian Signature
Date
MM
/
DD
/
YYYY
Please provide a copy of Participant's current Insurance card by email to youth@flcbrainerd.com. Thanks!
FLC sends information about upcoming events, concerns, weather related information and other program notes through email and text messages.

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