Immanuel Lutheran Ministries - WELS
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Children's Christmas Service 2019
God's Garden Sunday Babysitting Registration
Child's Registration Information:
Child's Last Name
*
Child's First Name
*
Child's Date of Birth (example: 01/25/2006)
*
Children's Physical Restrictions/Medications/Allergies/Special Needs
Parent Information:
Main Email (An automatic confirmation of registration will be sent - if you do not receive a confirmation email, something went wrong with registration, please re-register if you do not receive an email):
*
Please enter all other email addresses where announcements should be sent. They need to be on one line and separated with a comma. Example: ewilson@immluth.org, churchoffice@immluth.org)
Mother's Last Name
*
Mother's First Name
*
Mother's Phone
*
Father's Last Name
*
Father's First Name
*
Father's Phone
*
Emergency Contact Information (Please enter information for a person who is not the mother or the father in case the parents cannot be reached.)
*
Emergency Contact Name
*
Phone Numbers:
*
Relationship to Child
*
Submit