Calvary Lutheran Church Murrysville PA
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Lutheran Church in Murrysville Pennsylvania Lutheran Church in Murrysville Pennsylvania Lutheran Church in Murrysville Pennsylvania
Lutheran Church in Murrysville Pennsylvania
Registration

The various classes are described under Program Options. To register, download, complete, and snail-mail the registration form along with a check covering the registration fee. Registrations will be accepted on a first-come, first-served basis. Class size is limited so early registration is important. A non-refundable registration fee of $75, which includes a $25 materials fee, is due upon registration.
STUDENT INFORMATION
First Name : Middle Name : Last Name :
Address: City : State : Zip Code :
Age : Gender : Birthday : Home Phone : Email :
Marital Status of Parents : Custody/visiting arrangement, if applicable :
Name of the School Last Attended :
FAMILY INFORMATION
Father's Name : Occupation : Employer :
Business Phone : Cell Phone :
Mother's Name : Occupation : Employer :
Business Phone : Cell Phone :
Name and Ages of Siblings :
ENROLLMENT INFORMATION
Please select the Program you are registering for :
Kindergarten Only: Will you need busing one way? Name of Home School District :
ADDITIONAL INFORMATION
Does your child attend church? : If yes, where? :
Name of Pastor : Has your child been baptized?
Does your child have an emotional problem or have difficulty learning new things?
If yes, please explain:
Does your child have a medical condition or allergy?
If yes, please explain:
PERMISSION FORM
I give my permission to have my child photographed and/or videotaped for the purpose of positive public relations for Calvary Early Learning Center
I give my permission for my child's photo to be used on the Calvary Early Learning Center's website. Names of the students will not be published and student identification will not be revealed. The photos chosen for inclusion on th Homepage will be used to illustrate the positive Christian environment promoted at Calvary Early Learning Center
May we include your child's name, address, home phone number, cell phone number, and email address in a student directory for the school year? This information will be used for purposes of communication, party invitations, announcements, and compilation of a school directory.
May we use this email address to contact you regarding school-related issues, such as reminders, information regarding a parent organization, etc.
Are you interested in participating in a Parent Organization?
Lutheran Church in Murrysville Pennsylvania
Lutheran Church in Murrysville Pennsylvania Lutheran Church in Murrysville Pennsylvania Lutheran Church in Murrysville Pennsylvania