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Fill in, then print, sign and return the signed paper copy with the registration fee to the Redeemer Lutheran School office.

The Lutheran Church Missouri Synod

Redeemer Lutheran childcare Registration Form 2026 - 2027

(PLEASE PRINT CLEARLY)

Student’s Name
(Last)
(First)
(Middle)
Sex: (Circle)
With whom does the child reside? - (Circle One)
Baptized / Dedicated - (Circle One)
Does your child attend Sunday School? - (Circle One)

PARENT INFORMATION (Legal Guardians)

Nap or I would like my child to nap (1 pm -3 pm). Per ODJFS guidelines, 3-year-olds are required to nap/rest.
Childcare rates
Yearly registration fee$100.00 (non-refundable)
Full time rate$180.00 (4 to 5 days)
Part time rate$120.00 (2/3 days)
Daily rate$ 60.00

In helping us to plan more efficiently, please list days & times below in which you will be enrolling your child. Childcare is open 6:30 a.m. to 6:00 p.m.

  • Please mark arrival & departure times
DayArrivalAMDeparturePM
MondayAMPM
TuesdayAMPM
WednesdayAMPM
ThursdayAMPM
FridayAMPM

* Families are billed for your scheduled time regardless of attendance.

Payments for Child Care service rendered may be made weekly or bi-weekly.

A $25 late fee will be charged for payments more than two weeks late.

Parent or Guardian’s Signature

OFFICE USE ONLY: Date Form Received Date Application Fee Paid

Check Number Credit Card Cash Referred by

The governing board of the Redeemer Lutheran School located at 1400 Concordia Drive in Lancaster, Ohio has adopted the following racial nondiscriminatory policies. The Redeemer Lutheran School recruits and admits students of any race, color, gender or ethnic origin to all its rights privileges, programs and activities. In addition, the school will not discriminate on the basis of race, color gender or ethnic origin in the administration of its educational programs and athletics/extracurricular activities. Furthermore, the school is not intended to be an alternative to court or administrative agency ordered, or public school district-initiated desegregation. The Redeemer Lutheran School will not discriminate on the basis of race, color, gender or ethnic origin in the hiring of its certified or non-certified personnel.

Reg.childcare2026-27