2018-2019 Youth Education Enrollment Form

Please fill out the form below, including information for up to four children in your family.  If you have more than four children to register, you may submit the form more than once.

 

Parent 1 Name *
Parent 1 Name
Parent 2 Name
Parent 2 Name
Address *
Address
Phone
Phone
STUDENT 1
Student 1 Name *
Student 1 Name
Has student 1 been
Student 1 Birthdate *
Student 1 Birthdate
Student 2
Student 2 Name
Student 2 Name
Student 2 has been
Student 2 Birthdate
Student 2 Birthdate
Student 3
Student 3 Name
Student 3 Name
Student 3 has been
Student 3 Birthdate
Student 3 Birthdate
Student 4
Student 4 Name
Student 4 Name
Student 4 has been
Student 4 Birthdate
Student 4 Birthdate
MEDIA RELEASE
Media Release *
I give permission for my child to be photographed, and/or video/audio taped at King of kings Lutheran Church or at events sponsored and/or approved by King of kings. I understand that these photos or video/audio tapes may be used for instructional purposes, such as staff training, conference presentations, and/or general use by the children, and staff throughout the church. These photos may also be displayed on bulletin boards at King of kings Lutheran Church, on the King of kings’ web page or in flyers or brochures promoting the church and/or children’s programs.