*
Yes
No
I give permission for my child to be featured in photographs and/or videos to be used in flyers/publications (print or online) for Immanuel Lutheran School.
Your child’s first name may accompany their photo, but no last name will be included with your child’s picture when publishing. Please be sure to complete this form and include each child in your family that attends Immanuel Lutheran-Wentzville.
Child's Name *
First Last
Grade *
Child's Name
First Last
Grade
Child's Name
First Last
Grade
Child's Name
First Last
Grade
Parent Electronic Signature *
First Last
*
I understand that checking this box constitutes a legal signature.
Parent Email *

Immanuel Lutheran School

632 E Hwy N

Wentzville, MO 63385