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Sunday School Registration Form
Please fill out this form to register your child(ren) for Sunday School.
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Parent or Guardian Name(s) (First and Last):
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Home Phone Number (509) XXX-XXXX:
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Address:
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City:
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State/ Zip:
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Cell Phone #1:
Cell Phone #2:
Work Phone #:
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Email:
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Language Spoken at Home:
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Emergency Contact Number:
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Emergency Contact Name & Relationship:
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Child 1 Name (First and Last)
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Child 1 Date of Birth
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Child 2 Name (First and Last)
Child 2 Date of Birth
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DD
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YYYY
Child 3 Name (First and Last)
Child 3 Date of Birth
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DD
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YYYY
Child 4 Name (First and Last)
Child 4 Date of Birth
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DD
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YYYY
Child 5 Name (First and Last)
Child 5 Date of Birth
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DD
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YYYY
To Add Additional Children, Please Write Name and Date of Birth:
Does your child have a *Life-Threatening Health Condition? *
Any health issues (Please specify, Injuries/illness:) *
Any Allergies? (Please specify) :
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Any Disability (Please specify): *
Medication and frequency (Please specify) *
Would you be able to volunteer or help out with Sunday School?
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Would you like to donate to Sunday School?
*
Sunday School Waiver:
As the parent/legal guardian, I request admission for my child to ICY Sunday School. My child is healthy and able to participate in all school activities. I agree to cover any medical costs and authorize the school to seek necessary treatment for my child in case of an accident. I release the school and its staff from liability for any injuries my child may sustain during the school year.
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Please Digitally Sign by Writing Your Name Below:
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Today's Date:
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School Cancellation:
In case of inclement weather, ICY School Administration will decide on class cancellations, coordinating with the Principal.
Classes might be canceled if weather worsens during the day. Parents will be informed when feasible. Please contact ICY
before leaving home in uncertain weather conditions. *
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