Lebanon Reformed Church Christian Education
Registration Form
2011-2012
Please return completed form to: LRC, 100 Brunswick Ave, Lebanon, NJ 08801 Attn:
Kathy Wilmott
Important Request: Parents/Guardians are asked to be active
in the planning for activities and events for children and youth by attending Parent/Teacher meetings. Parents/Guardians are
asked to assist in their children’s classes, and with additional opportunities for Christian formation for children
and youth.
Please contact Andrea Hoffman, Christian Education Director, with any questions or concerns: 908.236.6403 or at hoffy1234@embarqmail.com.
Child’s Name
Date of Birth Grade
in School ’11-‘12
_____________________
____________ ___________________
_____________________ _____________ ___________________
_____________________ _____________ __________________
Parent/Guardian
Name(s):_____________________________________________
Home Address:_____________________________________________________
Home#_________________________Cell#_________________________
*Email Address______________________________________________________
What do you hope that your child(ren) will gain from regular attendance in church
school classes
and activities?
My child would like to participate in the following ministries for children throughout
the year. (Please list child’s name) Children’s
Choir:________________________________________________
Chime Choir: ___________________________________________
Youth
Group (ages 11-17):___________________________________
Vacation Bible School (Pre-K – 5th grade):________________________
Special Children’s Events: (PJ/Movie Night, Karaoke, etc.)_____________
I’m interested in volunteering in my child’s Sunday School class and/or ministries listed above.______________
Allergies or other medical conditions:____________________________________________________
Any additional information or
talents about your child that will help us ensure the best possible church school experience for your child?
“I give permission for the above named child(ren) to participate
in Lebanon Reformed Church School Program
and Activities.”
___________________________________________________________
Parent/Guardian Signature Date
Occasionally we photograph children and youth participating in class, activities or
events as part of our Christian Education Program at Christ Episcopal Church. We use photos, without identifying children
or youth by name, on Christ Episcopal Church bulletin boards, in publications or on our website to celebrate our children
and youths accomplishments. Please indicate below:
_____ YES. You may use photographs of my child(ren) on LRC’s bulletin boards, in publications or the website.
_____ NO. Please do not publish photos of my child (ren).
___________________________________________________________
Parent/Guardian Signature Date
