Godly Play & Sunday School Registration Form
Please complete a separate form for each child 3-17 years old.
Child's/Student's Name *
Your answer
Child's/Student's Birthdate *
MM/DD/YYYY
Your answer
Grade Level for 2014-15 *
Mother/Guardian Name *
Your answer
Mother/Guardian Email *
Your answer
Mother/Guardian Phone *
Please include area code & indicate cell or home
Your answer
Father/Guardian's Name *
Your answer
Father/Guardian Email *
Your answer
Father/Guardian Phone *
Your answer
Father/Guardian Other Phone
if your cell is not primary phone
Your answer
Mailing Address (Street) *
Your answer
Mailing Address (City) *
Zip code *
Your answer
On a regular basis, will this child be attending Trinity with someone other than a parent/guardian? *
Trinity contact, if your child is attending with someone other than a parent/guardian
Name
Your answer
Trinity contact, if child is attending with someone other than a parent/guardian,
Relationship
Trinity contact, if child is attending with someone other than a parent/guardian,
Phone Number
Your answer
Emergency Contact, if parent/guardian or Trinity contact cannot be reached *
Name
Your answer
Emergency Contact, if parent/guardian or Trinity contact cannot be reached *
Cell Phone
Your answer
Emergency Contact, if parent/guardian or Trinity contact cannot be reached *
Home phone
Your answer
Who can pick up your child/student? (Name & Relationship)
*Children in Godly Play must be picked up from their classroom. *Students in Youth Sunday School will be released after class.
Your answer
The following individuals may NOT pick up my child:
Your answer
How do you prefer to be contacted?
Under non-emergency circumstances
Please tell us where your child is with potty train so we can help support this process. *
Required
Does your child/student have any allergies, food or otherwise? If yes, please note them below. *
Your answer
Is there any additional information about your child/student that we should know about to better serve your child/student?
ex. medical/behavioral, family situation, concerns, etc...
Your answer
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