JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Christmas for Kids at St. John's Lutheran Church, Newburg, WI
Please fill out one of these registration sheets for each participant you are sending.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Saturday, December 17, 9:00 a.m. - 11:00 a.m.
For children Preschool - 4th grade
Participant Name
*
Your answer
Age
*
Choose
3
4
5
6
7
8
9
10
11
Name of Parents or Guardians [Please also list any others who will or might be picking up your child(ren).]
*
Your answer
Home Address
*
Street Address, City, State, Zip
Your answer
Phone Number
*
Your answer
E-mail address
Your answer
Who should we contact in case of an emergency?
*
Name and phone number
Your answer
Church Home (if any)
*
Your answer
Are there any medical concerns we should know about (allergies - including food, medical conditions, etc.)?
Your answer
If you have questions or notes to add to any of the above information please share here.
Your answer
The children will receive a free lunch.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of St. John's Lutheran Church & School.
Report Abuse
Forms
