Cross+Training/ACTS Registration 2024-2025

Parent/Guardian Information

Please provide contact info for parent(s)

Parent/Guardian Name

Parent/Guardian Email

Parent's Phone Number

Phone Number is:

Mobile Number Home Number Work Number

Parent/Guardian Address

Parent/Guardian Name

Parent/Guardian Phone Number

Parent/Guardian Phone Number is: Mobile Number Home Number Work Number

Parent/Guardian Address (if different than other parent's address)

Student Information

Please provide contact info for your child(ren)

Child 1

Child's Name

Date of Birth

School

Grade

Child's Email

Child's Cell Number

Does the child have any allergies?

Does the child have any medical issues that we should know about?

Child 2

Child's Name

Date of Birth

School

Grade

Child's Email

Child's Cell Number

Does the child have any allergies?

Does the child have any medical issues that we should know about?

Child 3

Child's Name

Date of Birth

School

Grade

Child's Email

Child's Cell Number

Does the child have any allergies?

Does the child have any medical issues that we should know about?

Child 4

Child's Name

Date of Birth

School

Grade

Child's Email

Child's Cell Number

Does the child have any allergies?

Does the child have any medical issues that we should know about?

Child 5

Child's Name

Date of Birth

School

Grade

Child's Email

Child's Cell Number

Does the child have any allergies?

Does the child have any medical issues that we should know about?

Permission

**Please sign (type name below) to indicate you agree to allow permission for Atonement Lutheran Church to use your child’s picture for advertising/promoting events.

Description

Please register your child(ren) for Cross+Training and ACTS in the 2024-25 program year.

Your contact information will be used by Atonement's staff and leaders to communicate with you, including Atonement’s mailing list.

Atonement will not give your personal information to any third parties.

Cross+Training/ACTS Registration 2024-2025

Description

Please Fix the Following