Prince of Peace Lutheran Church

Sunday School Forms

General Information for Sunday School

page 1 of 1

Student's Name *


First Name	Last Name

Preferred Nickname

Parent's Name *


First Name	Last Name

Address *


Address

Address Line 2

City	State	Zip Code

Phone Number *

Phone Number

e-mail *

Email Address

Cell Phone Numbers *

Phone Number

Birth Date *

Baptismal Date *

Name of School *

Grade *

Are you a member of Prince of Peace? *

Special Education Needs? *

Food Allergies or other medical concerns? *

By checking this box, I give Prince of Peace Lutheran Church permission to use my child's image in printed materials, videos and on the church's website. *

Select one

In case of a medical emergency, I give the staff of Prince of Peace permission to treat my child until I can be reached. *

Select one

Signature of Parent/Guardian *

Date

* required