LinCt Online Registration

Parent/Guardian #1 Name *

First

Last

Parent/Guardian #2 Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Communication - we will be using both text and email to communicate important information to you:

Parent #1 Cell Number *

Parent #2 Cell Number *

Parent #1 Email *

Parent #2 Email *

Home Phone Number *

I am not currently a member of OSLC and would like more information. *

Contact by email Contact by phone

Emergency Contact Name *

First

Last

Phone Number *

Relationship to Child(ren) *

Secondary Household - Is there a second household that you would like information sent to regarding programming?

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Number *

Email *

Sunday LinCt: Age 3 (by September 1) – Grade 6: Meets between services Sunday’s from 9:40am – 10:20am
Wednesday LinCt: Grades Kindergarten – 6th: meets Wednesdays after school from 3:30-5:00 pm

Schedule: Children bus from Jefferson/Middle School, have snack, sing in choir, have faith time and play games. Parent pick up at 5:00pm.

Children's Handbells: Grades 4-6 meets Wednesday evenings from 5:10pm-5:40pm

Child's Name *

First

Last

Date of Birth *

Grade *

Shirt Size (Youth or Adult XS/S/M/L/XL) *

Select One *

Yes No I Would Like More Information

Child's Name *

First

Last

Date of Birth *

Grade *

Shirt Size (Youth or Adult XS/S/M/L/XL) *

Select One *

Yes No I Would Like More Information

Child's Name *

First

Last

Date of Birth *

Grade *

Shirt Size (Youth or Adult XS/S/M/L/XL) *

Select One *

Yes No I Would Like More Information

Child's Name *

First

Last

Date of Birth *

Grade *

Shirt Size (Youth or Adult XS/S/M/L/XL) *

Select One *

Yes No I Would Like More Information

Medical (allergies, asthma), learning, or other conditions of which we should be aware (specify child): *

Parents/Guardians: I am willing to volunteer/help with LinCt Programing on: *

Wednesday LinCt Sunday LinCt

I give OSLC permission to photograph my child and use their photos on the church website/social media: *

Yes No