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Youth Page

The Transformer  is our weekly newsletter

May Calendar

Sundays
Sunday School 9:15 am
Worship 10:30 am (announcements at 10:20)

Mail:
Trinity Lutheran Church
820 Lockett Road
Kirkwood MO 63122

Phone:
(314)822-8244

Fax:
(314)822-9290

E-mail:
tlchurch@swbell.net

 
 
Parent's Day Out Registration

 


 

PDO registration
* Required
Email Address * (For example: name@company.com)
 
Child's name: *
 
Child's Birthday:
 
Father's name: *
 
Father's phone numbers: *
 
Mother's name: *
 
Mother's phone numbers: *
 
Marital status: *
Married
Single
Divorced
 
Church affiliation:
 
Baptized:
Yes
No
 
_____________________________________________
 
Emergency contacts:
 
Name and phone *
 
Name and phone *
 
Persons authorized to pick up my child: *
 
Days registering for: *
Monday
Tuesday
Wednesday
Thursday
Friday
 
Comments (such as medical conditions):
 
_________________________________________________
 
I UNDERSTAND THAT IN AN EMERGENCY I WILL BE CONTACTED IMMEDIATELY. I WILL TAKE APPROPRIATE ACTION FOR MY CHILD. I WILL ACCEPT FINANCIAL RESPONSIBILITY FOR THE CHARGES ASSOCIATED WITH THIS ACTION. IF I CANNOT BE REACHED TO MAKE NECESSARY ARRANGEMENTS OR IN A CRITICAL EMERGENCY REQUIRING IMMEDIATE CARE, I HEREBY AUTHORIZE TRINITY LUTHERAN STAFF TO CALL 911 AND ADMINISTER FIRST AID. I HEREBY AUTHORIZE TRINITY LUTHERAN TO CONTACT THE DOCTOR/HOSPITAL LISTED BELOW:
 
Doctor's Name and phone: *
 
Hospital name and phone: *
 
By submitting this form, I have agreed to the conditions above. Name: *
 
 
Please fill in the form. The fields marked with an asterisk are required.
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