First Lutheran Church, Algona IA

First Lutheran Wednesdays!

Get the kiddos Registered!

First Lutheran Wednesday

Parent / Guardian Information

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Emergency Contact (not listed above)

Who is authorized to pick up your child(ren) from class?

How many children are you registering today?

Name of Child 1

Date of Birth

Gender

Grade in Fall 2023

Primary Language

Does the child have any allergies?

Yes

No

Please list all food and environmental allergies:

Are there any medical concerns we should be aware of?

Yes

No

Please include all medical concerns:

Name of Child 2

Date of Birth for Child 2

Gender of Child 2

Grade in Fall 2023 for Child 2

Primary Language of Child 2

Does Child 2 have any allergies?

Yes

No

Please list all food and environmental allergies for Child 2:

Are there any medical concerns we should be aware of for Child 2?

Yes

No

Please include all medical concerns for Child 2:

Name of Child 3

Date of Birth for Child 3

Grade in Fall 2023 for Child 3

Primary Language for Child 3

Does Child 3 have any allergies?

Yes

No

Please list all food and environmental allergies for Child 3:

Are there any medical concerns we should be aware of for Child 3?

Yes

No

Please include all medical concerns for Child 3:

Name of Child 4

Date of Birth for Child 4

Grade in Fall 2023 for Child 4

Primary Language for Child 4

Does Child 4 have any allergies?

Yes

No

Please list all food and environmental allergies for Child 4 :

Are there any medical concerns we should be aware of for Child 4?

Yes

No

Please include all medical concerns for Child 4:

I give permission for photographs or videos of my child(ren) to be taken while at First Lutheran events, to be used now or in the future for the purpose of internal and external communications, including advertising and marketing as well as posted on Social Medical account(s) including Facebook, Instagram, and the website. I understand I can withdraw this consent at any time by advising the First Lutheran office in writing.

I agree

I disagree, do not use my child's photos or videos

In the event I cannot be reached, I hereby give permission for First Lutheran Church VBS to secure proper and necessary treatment / medical attention for my child(red) as named on this form.

I agree

I disagree, do not seek emergency medical treatment without my concent.

Signature

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Weekly Schedule

5:30 Food

The whole family is welcome for our weekly meal.
No set charge.
Pay what you can, if you can.

6:00 Learning

Time for the kids to learn about
the love of God!

7:00 Worship

We're in and out in a half hour
(yep, you've got munchkins to get to bed).
The sermon will cover the Bible story
your kids Just learned.

Learn With Us

Kids will learn with their peers. They will learn a story about God and that story will be continued in the sermon!

Feature One

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Feature Two

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Feature Three

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Feature Four

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum faucibus accumsan nulla, non faucibus velit convallis et. Nulla tempus placerat massa. Pellentesque habitant morbi tristique senectus et netus et malesuada.

First Lutheran Wednesdays!

Get the kiddos Registered!

First Lutheran Wednesday

Parent / Guardian Information

Weekly Schedule

5:30 Food

6:00 Learning

7:00 Worship

Learn With Us

Feature One

Feature Two

Feature Three

Feature Four

About

What We Believe

Our Story

Leadership

Sunday Mornings

Contact Info

Prayer

Follow Us

Implementation by ReedVerde