Something Else for Grades K-4 Registration 2019-20

Name of Child

Grade

Parent/s Name & Phone #

Parent Email

This address will receive a confirmation email

Allergies or Other Medical Concerns:

Transportation: Check all that apply.

My child will ride the school bus to Zion. My child will have other transportation to Zion. I will pick up my child between 4:45-5:00. My child will walk home at 5:00.

Permission: Check all that apply.

My child has permission to attend Something Else @ Zion Lutheran Church. My child has permission to walk or ride bus to Ecumen, 200 N. Holcombe Ave, Litchfield on the last Wednesday of the month. I give Zion permission to use pictures of my child in Zion publications and post on Zion's Facebook page.

Description

Please fill out this form and click submit.

Something Else for Grades K-4 Registration 2019-20

Description

Please Fix the Following