TRACTION: TRUTH IN ACTION Registration Form

Child's First Name

Child's Last Name

Street Address

City

Region/State/Province

Postal / Zip Code

T-Shirt Size

Birthday

Child's Grade as of 9-1-24

Parent/Guardian Name

Cell Phone

Email

Emergency Contact Name

Emergency Contact Number

Allergies/Special Needs

Name of Person Who Can Pick Up My Child

Home Church

Yes, my child may be photographed

No, my child may not be photgraphed

Contact Fox River Lutheran Church

By providing your email and/or phone number, you are opting into receiving email and/or text communications. Thank you.

First Name*

Last Name*

Email*

Phone*

Write a message

815-695-9926

www.foxriverlutheran.org

2785 E. US 52 Sheridan, IL 60551

Privacy Policy

No personal information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

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