Sunday School Registration, St. John's Lutheran Church Student Information Last name First Middle Date of birth *     mm/dd/yyyy   Male    Female  Address City Zipcode Parent name(s) Home/cell phone number Email Grade Level Child's age by September 31, 2008   3-years-old    4-years-old  Grade in Fall of 2008 BlankKindergarten123456 Christmas Program My child will be participating in the Christmas program December 14 during the education hour   Yes    No  I would like to order a tee-shirt for the Christmas program at a cost of $10.00   Yes    No  Size   Small       Medium       Large  Fees Please select which applies   $20.00 per student    $35.00 per family  Additional Information Please list any medical information or information regarding your child that may be helpful to our teachers or suggestions for our eduction program * = Input is required

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