Chisago Lake Evangelical Lutheran Church
Center City, MN 55012 651-257-6300 email cllc@citlink.net
Christian Education Registration Form
Parent/Guardians
Address
City State Zipcode
Phone Alternate Phone
E-mail
Child Name
Grade entering this fall Pre-K First Grade Second Grade Third Grade Fourth Grade Fifth Grade Sixth Grade Seventh Grade Eigth Grade
Birth Date Baptism Date
Any allergies, health concerns or special learning needs we should know about?
Please let us know whether we can call on you for help in any of the following areas:
Driving Teaching An extra pair of hands Typing Telephoning Food for Special Occasions
Other (Describe Below)
Outlook Express is required to submit this form online. If you are unable to submit this form, please fill out, print this page and mail to Chisago Lake Lutheran Church, PO Box 175, Center City, MN 55012