Sunday School and Logos Registration 2016/17
Please send questions about registration to joyschleusner@me.com
Parent Information
1st Parent First Name *
Your answer
1st Parent Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone *
Your answer
Email *
Your answer
2nd Parent First Name
Your answer
2nd Parent Last Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Phone
Your answer
Email
Your answer
Emergency and Pickup Information
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Names of adults other than parents authorized to pick up children
Your answer
Child Information
You can use this form to register up to 3 siblings at one time. If you need to register more than 3 children, please put additional children's information in the "Comments" box at the end of the form.
1st Child's First Name
Your answer
1st Child's Last Name
Your answer
Logos or SS or both
1st Child's Date of Birth
MM
/
DD
/
YYYY
Baptism Date
MM
/
DD
/
YYYY
1st Child's Current School Grade
Your answer
1st Child's Allergies or medical conditions
Your answer
2nd Child's First Name
Your answer
2nd Child's Last Name
Your answer
Logos or SS or both
2nd Child's Date of Birth
MM
/
DD
/
YYYY
Baptism Date
MM
/
DD
/
YYYY
2nd Child's Current School Grade
Your answer
2nd Child's Allergies or medical conditions
Your answer
3rd Child's First Name
Your answer
3rd Child's Last Name
Your answer
Logos or SS or both
3rd Child's Date of Birth
MM
/
DD
/
YYYY
Baptism Date
MM
/
DD
/
YYYY
3rd Child's Current School Grade
Your answer
3rd Child's Allergies or medical conditions
Your answer
May we use photos of your child(ren) in Mt. Olive publications?
Comments?
Use this space to provide any additional information you would like VBS staff to know. You may also use this space to register additional children.
Your answer
Submit
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