Student Registration 2008-09

Name: Age:   Date of Birth: Grade:   Gender: Baptism: This is my first time in Rotation Sunday School at First Lutheran I am returning to Rotation Street address:  City:   State:   Zip: Home telephone:    Home email: Parent's Names: Additional Phone Numbers: I'd like to volunteer! Emergency Contact: Allergies or other medical conditions:  Persons authorized to pick up your child: (note: all children must be picked up by an authorized person at least 16 years of age who may be asked to show I.D.) Name: Relationship: Name: Relationship: Name: Relationship: