SCHOOL FORM

School Registration Form

Select the session you wish your child to attend:

Wednesday
Sunday

Child’s Name

Gender

Female
Male

Birth Date

Grade in School

Baptized

Yes
No

If yes, date

Has this child received first communion?

Yes
No

Food/Medication Allergies

Does this child have any special needs
(physical, emotional, developmental)?
If yes, please explain

Mother/Father’s Name

Emergency Contact Phone Numbers

Address

E-mail Address

Participation Agreement: As a commitment
to the baptismal promise I made to my child…
*I will pray for my child throughout his/her
faith journey. *I will come to Church School a
minimum of three times throughout the year
as a helper in the classroom.

Yes
No

I am willing to join the Church School Team

Yes, on Sundays
Yes, on Wednesdays
No thank you

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PHONE: 605.764.2429
FAX: 605.764.2430

E-MAIL US:
cantonluth@iw.net

Canton Lutheran Church
124 E. 2nd St.
Canton, SD 57013

MAP & DIRECTIONS »
ELCA »

Saturdays 5:00 p.m.
Worship in the Chapel

Sundays 9:30 a.m.
Worship in the Sanctuary

Wednesdays 7:00 p.m.
WOW! Contemporary
Worship in the Sanctuary