Kids Registration Form 26-27
Please fill out this form and click submit.
Please select the programs your kid will participate in this year.
*
Please select all that apply.
Children's Choir (Wednesdays) Grades 1-6
HIS Kids (Wednesdays) Grades K-6
Sunday School (Sundays) 3yrs-6th Grade
Kid's Info
Name
*
Birthdate
*
Grade
*
Please select one option.
Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
Select Option
Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Allergies/Special Needs
Parent/Guardian Contact Info
Parent/Guardian
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Emergency Medical Care
I authorize Lindsborg Covenant Church to seek emergency medical care for my child in the event I cannot be reached.
Behavior Guidelines
I have read and will comply with the
Behavior Guidelines
located
HERE
.
I am responsible for reviewing this information with my child and encouraging them to abide by these guidelines while attending Lindsborg Evangelical Covenant Church.
Social Media/Website Permission
Unless notified, in writing, to the contrary, Lindsborg Covenant Church has permission to use my child's name, likeness, image, voice and/or appearance, which may be embodied in any photos, videos, digital images, and the like, taken or made during any Church activities. Please note that when we post pictures on social media or the website we do not post your child's name.
By signing my name below and submitting the form, I attest that I have reviewed this document and agree to let my child participate in Lindsborg Covenant Church programs
*
Please select all that apply.
I Accept
I Decline
Signature (parent/guardian type name)
*
Date
*
Submit
Description
Please fill out this form and click submit.
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