St. Paul Lutheran Church & School

Summer in the SON On-Line Registration Form

List both adults and *children attending.

(One form per family)


  
Family Last Name:  
Attendee #1 First Name:    Age:   Child Adult  
Attendee #2 First Name:    Age:   Child Adult  
Attendee #3 First Name:    Age:   Child Adult  
Attendee #4 First Name:    Age:   Child Adult  
Attendee #5 First Name:    Age:   Child Adult  
Attendee #6 First Name:    Age:   Child Adult  
Attendee #7 First Name:    Age:   Child Adult  
Attendee #8 First Name:    Age:   Child Adult  

Street Address:  
City:  
State:   Zip:
Home Phone:     Mobile:
Emergency Contact:  
Allergies/medical conditions:  

 

Child's special friend's name:  
Home Church:  

Baby Sitting Required

  

Child #1 First Name:    Age:
Child #2 First Name:    Age:
Child #3 First Name:    Age:

E-mail: (required to submit registration)

 
  

Please click the Submit button once - it may take a minute to receive a confirmation message. 

 

Please print this page for your records before submitting form.