LinCt Online Registration

* Indicates required field

Primary Household Information:

Parent/Guardian #1 Name *

First

Last

Parent/Guardian #2 Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

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

Contact by email Contact by phone

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

Parent #1 Cell Number *

Parent #1 Cell *

Primary Contact Do Not Text

Parent #2 Cell Number *

Parent #2 Cell *

Primary Contact Do Not Text

Parent #1 Email *

Parent #2 Email *

Emergency Contact Name (if parent is unvailable) *

First

Last

Phone Number *

Relationship to Child(ren) *

Secondary Household - Is there a second household (other parent, etc.) with whom your child resides?

Secondary Household Name(s) *

Relationship to Child(ren) *

Cell Number *

Email *

Should program information be sent to this household? *

Yes No

Sunday LinCt:

Age 3 (by September 1st) – Grade 6
Meets Sundays between worship services from 9:40 a.m. – 10:20 a.m.

Wednesday LinCt:

Kindergarten – Grade 6: Meets Wednesdays after school from 3:30 p.m. - 5:00 p.m.
Kindergarteners bus from WLC to Jefferson Elementary. All children bus from Jefferson (K-4th) and Middle School (5th-6th) to OSLC.
Children have snack, sing in choir, participate in Faith Formation, and have supervised activities.
Parent pick up at 5:00 p.m. in the Upper Room.
Wednesday LinCt children sing during Sunday worship once per month, have a Christmas program, and sing on Christmas Eve.

Child's Full Name (First, Middle, Last) *

Preferred Name/Nickname *

Date of Birth *

2024-2025 Grade *

LinCt Program *

Shirt Size *

Child's Full Name (First, Middle, Last) *

Preferred Name/Nickname *

Date of Birth *

2024-2025 Grade *

LinCt Program *

Shirt Size *

Child's Full Name (First, Middle, Last) *

Preferred Name/Nickname *

Date of Birth *

2024-2025 Grade *

LinCt Program *

Shirt Size *

Medical, allergies, learning needs, or other conditions of which we should be aware. Specify which child and if they carry an Epi-Pen. *

Dietary needs of which we should be aware (i.e., food allergy, celiac, lactose intolerant, etc). Specify which child and if they carry an Epi-Pen. *

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

Yes No

Parents/Legal Guardians: I am interested in volunteering to help with LinCt programming:

Wednesday LinCt *

Weekly Monthly Substitute Other - Lindsay will contact you

Sunday LinCt *

Weekly Monthly Substitute Other - Lindsay will contact you

Questions:
Faith Formation/Schedule: Lindsay Medina - [email protected]
Choir: Madeline Cacciatore-Warta - [email protected]