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Atonement Sunday School Registration
2018-2019
Child's Name *
Your answer
Untitled Title
Date of Birth *
MM
/
DD
/
YYYY
Grade Entering Fall 2018 *
Your answer
Parents Name(s) *
Your answer
Home Address *
Your answer
Primary Email Address *
Your answer
Secondary Email Address
Your answer
Parent Cell Phone *
Your answer
Parent Cell Phone
Your answer
Emergency Contact Name & Phone Number(if parent not available)
Your answer
Additional information about your child that would help us interact with him/her better. *
Your answer
In an emergency, if neither parent can be reached, I grant permission for my child to be taken to the hospital for care. (please enter your name below as signature) *
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