LifeKIDS:56 Registration - Wednesday Nights for 5th and 6th Graders 7:00-8:15 pm

Please register by filling out one online form per student. Please bring a check for $25/student ($60 family maximum) to the first day of LifeKIDS:56 (Wednesday, September 21, 2016).

Scholarships are available. Please ask Jenna or Elaine for more info.

Student's First Name

Student's Last Name

Male

Female

Birthdate

Grade

5th Grade

6th Grade

Any allergies, concerns, or other information we should know to best serve your child?

Parent/Guardian Name

Primary Phone Number

Email Address

Home Address

City

Zip Code

Second Parent/Guardian

Primary Phone Number

Email Address

Home Address

City

Zip Code

Relationship to Lord of Life

Member

Regular Attendee

Member of Another Church

Visitor

If you are not already a member of Lord of Life, would you like information on becoming a member?

Yes

I give Lord of Life Church permission to use photographs of my child for publicity purposes, such as the Lord of Life website or the Lord of Life/LifeKIDS Facebook pages. No personal information will be used.

Thank you for registering! Please bring a check for $25 per student ($60 family maximum) to LifeKIDS:56.

We start on Wednesday, September 21 at 7:00 pm! If you would like, please download a copy of the 2016-2017 LifeKIDS:56 Schedule on the LifeKIDS:56 tab of the Lord of Life website.

If you have any questions, please contact Jenna Fluegel at JennaF@lol.org or (763) 427-1100 ext. 325.

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