Peace Lutheran Church

Registration

Thanks for your interest in Ministry at Peace Lutheran Church! Please fill out of the following information and we will be in touch with you soon.

  • Child's Information

    Please fill out a form for EACH child you are registering.
  • MM slash DD slash YYYY
  • Please enter the grade the child is currently in, or will be entering when school resumes in the fall.
  • MM slash DD slash YYYY

  • Parent/Guardian Information

  • Please enter the parent or guardian's name/s

  • Alternate Contact

  • At times, we need to have an alternate contact to get a hold of. Please fill in that information here.
  • Please enter a phone number for the alternate contact.

  • Photographer Waiver

  • By entering your initials in the box below, you hereby grant Peace Lutheran Church leaders permission to photograph/film the minor(s) designated above in any manner or form for any lawful purpose associated with this Peace Lutheran Church program.

  • Other

  • Please use this area to provide information that you think we should know about this child.
  • What is 10+22?
  • This field is for validation purposes and should be left unchanged.

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