JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Easter For Kids 2018
March 24, 2018, 9-11:30 a.m.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Please complete and submit a form for each helper or child in your family that will be attending E4K.
Your Name/Responsible Parent or Guardian
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP Code
*
Your answer
Phone Number (xxx) xxx-xxxx
*
Your answer
Email Address
*
Your answer
Emergency Contact Person's Name on Day of Event
*
Your answer
Emergency Contact Number During Event Dates (xxx)xxx-xxxx
*
Your answer
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's Date of Birth (MM/DD/YYYY)
*
MM
/
DD
/
YYYY
Current Grade in School
*
None (Preschool) (If not potty trained, children are welcome to attend if someone stays with them to provide bathroom support)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Helper
Permission to Photograph
*
Allow
Don't Allow
Allergies for any children:
*
Yes (Describe Below)
None
Describe Allergies:
Your answer
How did you hear about Easter For Kids at Gethsemane?
*
Signs
Mailer
Flyer
Friend/Word of Mouth
Other:
Do you currently have a church home
*
Yes
No
I would like to learn more about Gethsemane Lutheran Church
*
Yes
No
I would like to learn more about Gethsemane Lutheran School
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
