209.png

651-633-4674



 

Children Youth & Family Sign-up

 

Complete the form below, indicating the event you are registering for.

 

A Covenant/Permission slip and payment (where applicable) must be completed and turned into the office, prior to a minor participating.


 
 

Parent/Guardian 2 First Name
Parent/Guardian 2 Last Name
Parent/Guardian 1 First Name
Parent/Guardian 1 Last Name
Home Phone
Street Address
City
State
Zipcode
Alt. Phone
Email 1
Email 2
Emergency Contact
Emergency Contact Phone
Relationship
Church Member
 
CYFM Opportunities

 
Activities
 
Children/Youth Information

 
Child's First Name
Child's Last Name
Age
Grade
Birthday
Baptized
Baptisimal Date
Allergies/Other
Child's First Name
Child's Last Name
Age
Grade
Birthday
Baptized
Baptisimal Date
Allergies/Other
Child's First Name
Child's Last Name
Age
Grade
Birthday
Baptized
Baptisimal Date
Allergies/Other
Child's First Name
Child's Last Name
Age
Grade
Birthday
Baptized
Baptisimal Date
Allergies/Other
Please enter the letters that appear in this image

© Christ the King Lutheran Church 2011 •  1900 7th St. NW, New Brighton, MN 55112 • 651-633-4674 • info@ctknb.org

986.png