Student Birthdate - (3 years old and up must be completely potty trained and turn 3 by 7/31/2022. We have adopted the statewide school age cutoff to establish age group classes, in the hopes of creating circles of friends that will grow up together at FLC.) *
MM
/
DD
/
YYYY
Has child been baptized? *
Student Grade 2022-23 *
Your answer
Parent(s) Name(s) *
Your answer
Parent Cell Number (Primary Contact) *
Your answer
Address *
Your answer
Parent email (Primary Contact) *
Your answer
I give you my permission to send emails, messages and texts about First Lutheran ministries. *
Student Cell Number (Confirmation and FLYs)
Your answer
Check the box to register for each program. *
Required
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