Sunday School starts on September 9 at 9:45am in the Kids' Zone!

SUNDAY SCHOOL REGISTRATION

Name:
Address:
Phone:
-
Cell Phone:
-
E-mail:
Child #1 Information
Please enroll my child in Sunday School (2yrs-5th grade) (Child #1):
Child #1 Name:
Gender (Child #1):
Date of Birth (Child #1):
 / 
 / 
Current Grade (Child #1):
Allergies / Medical Information / Special Needs (Child #1):
Child #2 Information
Please enroll my child in Sunday School (2yrs-5th grade) (Child #2):
Name (Child #2):
Gender (Child #2):
Date of Birth (Child #2):
 / 
 / 
Current Grade (Child #2):
Allergies / Medical Information / Special Needs (Child #2):
Child #3 Information
Please enroll my child in Sunday School (2yrs-5th grade) (Child #3):
Name (Child #3):
Gender (Child #3):
Date of Birth (Child #3):
 / 
 / 
Current Grade (Child #3):
Allergies / Medical Information / Special Needs (Child #3):
Child #4 Information
Please enroll my child in Sunday School (2yrs-5th grade) (Child #4):
Name (Child #3):(1)
Gender (Child #4):
Date of Birth (Child #4):
 / 
 / 
Current Grade (Child #4):
Allergies / Medical Information / Special Needs (Child #4):

MEDICAL & LIABILITY RELEASE:
In the event of sickness or medical emergency where I am not present and cannot be reached, I request that my child(ren) receive any medical attention or treatment deemed necessary by the staff or ministry leadership of Holy Cross Lutheran Church. Therefore I give permission to any hospital, doctor and/or health care provider to treat, transport/admit my child. The above named child(ren) has my permission to travel in a privately owned vehicle (we will notify parents of special event requiring transportation) I give permission for picture and video of my child to be used on the Holy Cross Lutheran Church Website & other in house publicity. If I am opposed to this I will request a denial form from the Children's Ministry Office.

I agree: