EPLC CYF Sign Up
Hello! Please fill out all parts of this form to register!

Class Info/Times:

Sunday School: Open to all ages! Sundays at 10am on the 3rd floor in the Sunday School Room.
BLAST meets Wednesdays from 5:54-6:45pm
Confirmation (Grades 7-8) meets Wednesdays from 7-8pm
Agape Ministry (High School) meets Wednesdays from 8-9pm 


If you are registering multiple children, please fill out a separate form for each!

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What is the child's full name, age, and grade in school? *
What is the child's birthday? *
Please provide the child's email, if applicable.
Please provide a name, relationship, email address, and phone number for the child's first guardian. *
Please provide a name, relationship, email address, and phone number for the child's second guardian (if applicable).
Please provide a name, relationship, and phone number for one emergency contact. *
What is your family's full home address? *
Does your child have any allergies, special needs, or concerns? If yes, please explain. *
Edison Park Lutheran Church has my permission to use photos/images of my child on their website, promotional materials, and social media sites. *
Which group are you registering for? *
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