Saint John Lutheran Church
Bellevue, Iowa

Christian Education for Children

Gathering God's Children on Friday

Friday Afternoon:  after-school 3:25 - 5:00
Open to All Youth:  Pre-school (4+ years) through 5th Grade
Do not have to be a member of Saint John

 

You will receive a confirmation email from burst@emailmeform.com if you have an email listed .  Check your spam filter if you do not receive this confirmation.  A * indicates a required field.
2010-2011 Registration for Ark
(1) Childs Name (first & last) *
Age and Date of Birth *
Grade In School
(2) Child's Name (first & last)
Age and Date of Birth
Grade In School
(3) Child's Name (first & last)
Age and Date of Birth
Grade in School
(4) Child's Name (first & last)
Age and Date of Birth
Grade In School
Parent/Guardian Name *
Address *
Phone # *

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Email
Church Membership if any
Emergency Contact *
Emergency Phone # *

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Permission to walk to Saint John after school? *
 Yes 
 No 
Permission to walk home from Saint John after Ark? *
 Yes 
 No 
Permission to use photographs/videos of my child(ren) TV or webpage? (Names will not be posted) *
 Yes 
 No 
Please list any food allergies/health issues. (We will be serving a light snack at the beginning of the class)
If you have any questions, please contact our Office Administrator at 563-872-5849
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