Children & Youth Registration — Mount Olive Lutheran Church

Mount Olive Lutheran Church

Contact Us at Mount Olive Lutheran Church

Register here for Youth Activities at Mount Olive Lutheran Church — Register here for Youth Activities at
Mount Olive Lutheran Church

Please fill out one form for each student

Student Name

First Name

Last Name

Birthday

MM

DD

YYYY

Age

Grade

Baptized

Yes

No

Allergies

Yes

No

If yes, please list allergies

Activity

I would like to register my child for one or more of the following activities:

Sunday School (Pre-K - 4th Grade)

Be BOLD(5th-8th Grade)

Pits (9th - 12th Grade)

Parent Name

Parent Phone Number

(###)

###

####

Parent Email Address

Parent Name

Parent Phone Number

(###)

###

####

Parent Email Address

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country