After Submitting This Form,
 CLICK HERE to Return to the prior page.

On-line Student Enrollment for 2007-2008
Bethany Lutheran
Sunday School and Midweek ACTS

Complete one form for each child.

Name:    Birth Date:
                                   Last, First Middle                                           mm/dd/yy

Level or Grade:  

Goes by?        Phone:

Address:        
                                             Street,  City  Zip

Enroll in:
   Sunday School at    Overland Park Mission    or  Stilwell Mission
   Midweek ACTS on Wednesday    Overland Park Mission    or   Stilwell

Family Email Address:
     
  Name Church Membership
Father
Mother

If student is NOT receiving Baptism
Birthday cards, please provide baptism info:
                                                                                                   mm/dd/yy

Known Allergies:
Please note:  Snacks may be served in Sunday School/ACTS classes.  Children with SEVERE food allergies are asked to supply the teacher of the class with allergy information and to provide a safe snack weekly for their child.

Special medical needs?
       Yes  No		 Special behavior/education needs?
           Yes   No

If you have answered “Yes” to either of the above, please contact the Director of Child Ministry to communicate any specific information that would be helpful to the people serving your child.

Devotion materials sign up [distributed through Sunday School classes]
(Please consider family subscriptions.)
Sign this Grade 1-5 student up to receive quarterly My Devotions.
Sign this Preschool-Kindergarten student up to receive monthly Happy Times.
   
Photo release for 2007-2008 (must select YES or NO):
YES I grant permission for this student’s photograph to be used for any Bethany publication, news media usage, or on the World Wide Web.
NO Do not use my child’s photograph for any publication.

Parent Pledge:
Having enrolled my child in this faith nurture program, I will:

By hitting the "Submit Form" button I am certifying that I have read and agree to the parent pledge.


      

When using this “message form” if you see this
FrontPage Error.
User: please report details to this site’s webmaster.
Webmaster: please see the server’ system log for more details.
then you should CLICK on this link
http://www.bethanylutheran-op.org/
to re-initialize the web site using the full URL address and then try again.

 

 

After Hitting the "Submit Form" button,
 CLICK HERE to Return to the prior page.