Easter for Kids
Easter for Kids aims to serve children 4k and up and will run from 11:30 am to 2:00 pm on Sunday March 20. Free lunch is provided and the children are welcome to join us beforehand for Sunday School which begins at 10:15. Parents/Guardians are more than welcome to stay and participate. Please register below. If you have more questions, you can call the church office at (920) 787-3856.
PARENT FIRST NAME*
PARENT LAST NAME*
ADDRESS*
EMAIL ADDRESS (for registration receipt)*
DO YOU HAVE A HOME CHURCH?*
 YES
 NO
PHONE NUMBER*
FIRST CHILD'S NAME*
LAST NAME (if different from parent's)
GRADE FOR 2014-15 SCHOOL YEAR*
SECOND CHILD'S NAME
LAST NAME (if different from parent's)
GRADE FOR 2014-15 SCHOOL YEAR
THIRD CHILD'S NAME
LAST NAME (if different from parent's)
GRADE FOR 2014-15 SCHOOL YEAR
NAMES AND GRADES OF ADDITIONAL CHILDREN
DO ANY OF THE CHILDREN LISTED ABOVE HAVE ALLERGIES OR ANOTHER MEDICAL CONDITION OUR STAFF SHOULD KNOW ABOUT?
 Yes
 No
If yes, please list child's name and condition.
I hereby give my consent as the parent/guardian of the above named child/children to attend/participate in the Easter for Kids program at Peace Lutheran Church at 335 West Prairie Street, Wautoma, WI 54982. My child and I hereby release, indemnify, and hold harmless the church, its employees and/or volunteers from any liability from any claim, injury, or loss sustained by or during my child's participation during Easter for Kids. I hereby authorize Peace Lutheran to take and use photography and/or video of my child for crafts, keepsakes, or promotional purposes in any type of media and understand I will not be compensated for any such use. Please type your name in the box below agreeing with this consent form.*


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