LCM Sunday School Registration 2008-09

To register;   Please fill out this form and click on the Submit button,
    or Print (pdf) Form, fill it out and turn it into the church office.
Questions, contact Diana Streckfuss at 333-4444 (office) or 660-3641 (cell).

Sunday School Times and Locations - Please Choose the one you will regularly attend.
East Campus (114th & Center) 10:15 - 11:10 a.m.
West Campus (180th & Dodge) 10:15 - 11:10 a.m.

1. Student Information
Name
Birthdate   Age   Sex   Grade
Member of LCM?   Yes   No
Medic Alert?   Yes   No   If yes, explain
Student baptized   Yes   No
Special Needs?   Yes   No   If yes, explain


2. Student Information
Name
Birthdate   Age   Sex   Grade
Member of LCM?   Yes   No
Medic Alert?   Yes   No   If yes, explain
Student baptized   Yes   No
Special Needs?   Yes   No   If yes, explain


3. Student Information
Name
Birthdate   Age   Sex   Grade
Member of LCM?   Yes   No
Medic Alert?   Yes   No   If yes, explain
Student baptized   Yes   No
Special Needs?   Yes   No   If yes, explain


4. Student Information
Name
Birthdate   Age   Sex   Grade
Member of LCM?   Yes   No
Medic Alert?   Yes   No   If yes, explain
Student baptized   Yes   No
Special Needs?   Yes   No   If yes, explain


Parent/Guardian Information
Parent/Guardian Name(s)
Address
City   State   Zip Code
Phone   Cell   E-mail
Members of LCM?   Yes   No
Would you like information about becoming a member?   Yes   No

* We invite you to be a part of our ministry.  Please indicate area(s) you would like to volunteer for:
  Teacher     Grade preference?   1st Choice   2nd Choice   3rd Choice
  Substitute Teacher       Children & Family Ministry Team
  Nursery Volunteer       Special Programming (Christmas Program, VBS)
  Administrative Helper       Summer Leader/Assistant