Resurrection Lutheran Church | Sunday School Student Registration Form

	Resurrection Lutheran Church & School 765 J. Clyde Morris Boulevard Newport News, VA 23601 757-596-5808 A congregation of The Lutheran Church - Missouri Synod

Our mission is to nurture and strengthen God's people so that we may share His love with our community.

Resurrection Lutheran Sunday School
2007-2008 Student Registration

Child's Name: Nickname:

Home Phone: Other Phone: Email:

Street: City: Zip:

Child's Birth Date: Age (by 9/30/07): Grade in School (9/07):

Baptized? Yes No | Attends RLC Day School? Yes No | Current member of RLC? Yes No

Special Considerations? Learning/Physical/Emotional Challenges? Food Allergies?
Any information that would help our staff best serve your family?

If child is entering 5th or 6th grade, are you interested in Holy Communion instruction this year? Yes No

Name of Adult(s) bringing child to Sunday School:

Relationship to Child: Parent Grandparent Other Relative Friend/Neighbor

Separate Households? Yes No
Address if different from Child’s:

Location of Parent/Guardian during Sunday School Hour: 9:30 Worship Adult Bible Class Other
If Other, state location:

*** NOTE: An emergency number MUST be given if adult caretaker leaves the building during Sunday School Hour!

Your name: