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Participant Registration

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Luther Memorial Church

Location

420 South 4th Street

River Falls, WI 54022

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Contact Chad Schuermann:

715-425-2675

chad@lmcrf.org

First, Tell Us About Yourself:

Parent Information

If you have any questions about this registration form, please contact Luther Memorial Church.

First Name

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Last Name

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Address 1

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City

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State/Province

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ZIP/Postal Code

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Contact Phone 1

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Contact Phone 2

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Emergency Contact Name

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Emergency Contact Phone

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Emergency Contact Relationship

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Would like to receive occasional text message reminders about Sunday School signing for worship or scheduling updates?

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If you said yes to the above question, what number would you like to be texted?

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Click here for your FREE Friends With God Kids Activity Pack

By checking the box you will be emailed your Free Friends With God Kids Activity Pack.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Group VBS and other faith-building resources. Click to learn more about Lifetree.

Tell Us About Your Participant

First Name

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Last Name

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Grade Entering

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Gender

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Date Of Birth

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Allergies

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Medical Concerns

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Occasionally Luther Memorial takes photos of children to use for publication purposes. It is Luther Memorial's policy to never identify a child on a picture for publication. With this policy in place, do you give Luther Memorial consent to use pictures of your child for publication purposes only?

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Comments

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