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Good Shepherd Lutheran Church Confirmation Enrollment Form
Wednesdays: 5:15 p.m. to 6:15 p.m.
Starting date: September 6, 2023 at 5:15 p.m.
Our Address: 2220 E. College Ave. Appleton, WI 54915
Contact Tanya Johnson at (920
) 415-4994 or goodshep@goodsheplutheran.net
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Email
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Your email
Last Name
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Parent/Guardian name(s):
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Parent/Guardian phone number(s):
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How can we reach you from 5:15 pm. - 6:15 p.m.?
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Who is allowed to pick up your child(ren)? List names
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Child's First Name:
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Child's Date of Birth and grade:
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Your answer
Allergies or Special Needs? Please be specific:
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Child's First Name:
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Child's Date of Birth and grade:
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Allergies or Special Needs? Please be specific:
Your answer
Child's First Name:
Your answer
Child's Date of Birth and grade:
Your answer
Allergies or Special Needs? Please be specific:
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We may take photos for both print and online use to share our ministry. Do you give permission to use photos (no names included) of your child(ren)?
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Other information for Mrs. Johnson (family background such as custody information that would impact attendance, serious illness in family that might impact child's focus, etc):
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