Please fill in all pertinent info below. Thank you!
Child's Name, Grade, & DOB*
2nd Child's Name, Grade, & DOB
3rd Child's Name, Grade, & DOB
4th Child's Name, Grade, & DOB
Parents' Name(s)*
Address/City/State*
Phone #*
Emergency Contact Phone #*
Email address:
Member of: (List church name, or enter "none")*
Please check below to signify that you give permission for the above child(ren) to be photographed at Immanuel's Sunday School and have no objections to such photographs being used on Immanuel's website, in local media or in promotional fliers. (Children's names will not be included with photographs posted on Immanuel's website.)
Please list any questions or special requests here, as well as any food allergies or health concerns for your child(ren).
