St. Luke Lutheran Church &
Early Childhood Center
20 Candlewood Path, Dix Hills, NY 11746
(631) 499-8656
Rev. Dr. Roy W. Minnix, Pastor

St. Luke Lutheran Church & Early Childhood Center

Emergency Contact Online Form


Prior to the start of school (2016-2017), the preschool office must have on file a form with all Emergency Contact information for your child. 


Please fill out the online form below and click submit at the end. We must have at least one emergency contact.


If you prefer, you can access the pdf version, use the fill and sign command and either print it out and mail it in or attach it to an email at this address -  K[email protected]

Thank you for submitting your Emergency Contact Information. Unless we find that information is missing from the form, you have satisfied this requirement for your child's enrollment at St. Luke. Have a blessed day!
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Child Information Online Form


Prior to the start of school (2016-2017), the preschool office must have on file a form with helpful information for your child. This form helps our teachers to better prepare for your child's enrollment at St. Luke. The information you provide is strictly confidential and not shared with anyone, except your child's teacher.


Please fill out the online form below and click submit at the end.


If you prefer, you can access the pdf version, use the fill and sign command and either print it out and mail it in or attach it to an email at this address K[email protected]

Child Information Form 

Thank you for submitting your Child Information Form. Unless the form is found to be incomplete, you have fulfilled this requirement for your child's enrollment at St. Luke. Have a blessed day!
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