Alleluia and Caroler Choir Registration

Family Contact Information

Primary Household Email Address *

Primary Household Address *

Primary Household Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Household Phone *

Primary Household Phone

(###)

###

####

Parent/Guardian *

Parent/Guardian

First Name

Last Name

Parent/Guardian Cell

(###)

###

####

Parent/Guardian

First Name

Last Name

Parent/Guardian Cell

(###)

###

####

Student lives with *

Both Parents

Mother

Father

Other

In Case of Emergency

Emergency Contact Name *

Emergency Contact Name

First Name

Last Name

Phone *

Phone

(###)

###

####

Signature

Parent Signature *

Please type name as your electronic signature.

Child 1

Choir *

Check one choir option

Alleluia Choir: Age 3 – kindergarten: Wednesdays, 6:00-6:25 pm

Caroler Choir: 1st – 3rd grade: Wednesdays, 6:30-7:00 pm

Name *

Name

First Name

Last Name

Gender *

Grade *

Grade your child will enter in the fall.

Birthdate *

Birthdate

YYYY

Allergies & Medical Concerns

Child 2

Choir

Alleluia Choir: Age 3 – kindergarten: Wednesdays, 6:00-6:25 pm

Caroler Choir: 1st – 3rd grade: Wednesdays, 6:30-7:00 pm

Name

First Name

Last Name

Gender

Grade

Grade your child will enter in the fall.

Birthdate

YYYY

Allergies & Medical Concerns

Child 3

Choir

Check one choir option

Alleluia Choir: Age 3 – kindergarten: Wednesdays, 6:00-6:25 pm

Caroler Choir: 1st – 3rd grade: Wednesdays, 6:30-7:00 pm

Name

First Name

Last Name

Gender

Grade

Grade your child will enter in the fall.

Birthdate

YYYY

Allergies & Medical Concerns

Media Waver *

I understand that my child(ren) may be photographed during Sunday School activities and images may be used in Lutheran Church of the Good Shepherd publications, including the website.

Alleluia and Caroler Choir Registration

Alleluia and Caroler Choir Registration

Lutheran Church Of The Good Shepherd