Children & Family Registration Form 2018-2019

We need a new form for each family every program year (July-June). If you have any questions, please contact Becky at children@hslckirkland.org.

Adult 1 Name *
Adult 1 Name
Adult 1 Cell Phone *
Adult 1 Cell Phone
Adult 2 Name
Adult 2 Name
Adult 2 Cell Phone
Adult 2 Cell Phone
Family Address
Family Address
Member? *
Student 1
Student 1 Name *
Student 1 Name
Student 1 Birthdate *
Student 1 Birthdate
Student 1 Baptism Date
Student 1 Baptism Date
Information is kept confidential.
Student 2
Student 2 Name
Student 2 Name
Student 2 Birthdate
Student 2 Birthdate
Student 2 Baptism Date
Student 2 Baptism Date
Information is kept confidential
Student 3
Student 3 Name
Student 3 Name
Student 3 Birthdate
Student 3 Birthdate
Student 3 Baptism Date
Student 3 Baptism Date
Using your Child's Name, register for the following Holy Spirit Lutheran Church Programs
Rainbow Kids (Ages 3-5) | Elementary (K-5th Grade) | Time 4 Tweens (6th grade)
Age 4 - 2nd Grade
3rd - 5th Grade
6th - 12th Grade
Holy Spirit Lutheran church is committed to keeping children safe. Consequently, we require all adults volunteering in ministries with children and youth to undergo background screening. Our guidelines are outlined in our safe Haven policy, available in our church office.
Please write your name below.