ECC INFORMATION FORM

ECC INFORMATION FORM

CHILD'S ADDRESS*

,  

Primary Contact

ADDRESS

,  

(If different from child)

( )   -

Primary Contact

Secondary Contact

( )   -

Secondary Contact

I AM INTERESTED IN MY CHILD ATTENDING:*

Name and Age

Or Religious Affiliation

HAS YOUR CHILD BEEN BAPTIZED?

Publicity permission includes:

Newspaper, Immanuel Website, Facebook, Screens in Church, etc.

NEWSPAPER*

We love to recognize the ECC and showcase our wonderful students. May we publish your child's picture in the newspaper and include their name?

WEBSITE + ONLINE MEDIA*

May we use your child's picture without his/her name on our school website/online media platforms?

By typing my name below:

I understand that the information on this form is correct to the best of my knowledge.

*