Emmaus United Church of Christ Sunday School Registration
For children aged 3 up through 8th grade
Child's Full Name *
Your answer
Nickname
Your answer
Age
Your answer
Birthday *
MM
/
DD
/
YYYY
Parent / Guardian Name(s)
Your answer
Address
Your answer
Phone Number(s) *
Your answer
Parent Email Address(s) *
Your answer
Child's Email Address (if existing)
Please note, any communication from Emmaus will always include both the Parent & Student addresses
Your answer
Baptized?
Confirmed?
School Name, if attending
Your answer
School Grade / Level *
This helps determine which Sunday School class the child will participate in. If currently not in a school, just put "N/A".
Your answer
List any special physical, emotional, learning or social needs or concerns of the child:
Your answer
List any allergies (food, medicine, and environment) that the child may have:
Your answer
List sports, hobbies, or interests of the child:
Your answer
Are there any medical or behavioral needs that you’d like to confidentially share with a minister?
Photo / Video Release
Signature *
By entering your initials in the below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
Your answer
Submit
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