Grace Little Lambs Sign Up | Grace Lutheran Church, Yorba Linda CA

To enroll, please fill out the form below. Please note, that this page is protected by SSL which means the information entered is encrypted when in transit between your computer and the server.
Fields marked with a red asterisk* are required.

Child Information

Number Of Children To Enroll*

You may enter up to 2 children by choosing either the 1- 2 children option below. If you have more than 2, please complete another form after submitting this one.

1st Child

Child's Name*

First Last

DOB*

Child's Date Of Birth

2nd Child

Child's Name*

First Last

DOB*

Child's Date Of Birth

Parent Information

Parent Name (or Caregiver Attending)*

First Last

Relationship To Child(ren)*

Other Relationship*

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Other Information

Allergies

Any allergies or special needs to be aware of.

Consent

I Do

Give my consent for any such photos or videos of my child(ren) or myself, to be used on social media, the churches website, or advertising materials.

I Do Not

Give my consent for any such photos or videos of my child(ren) or myself, to be used on social media, the churches website, or advertising materials.

Comments

This field is for validation purposes and should be left unchanged.

Little Lambs Signup

Child Information

1st Child

2nd Child

Parent Information

Other Information

Consent

The Last Updated: date is the date the Member Directory online was updated. This is displayed to show when the last time the online directory was updated and to be compared to the printed Member Directory update date.