The Dover Church Sunday School Registration 2017 - 2018
Student's Last Name
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Student's First Name
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Student's Date of Birth
MM
/
DD
/
YYYY
Student's Grade in 2017-2018
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School Your Child Attends
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First Parent's Last Name
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First Parent's First Name
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Second Parent's Last Name
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Second Parent's First Name
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First Parent's Email Address
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Second Parent's Email Address
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Do both parents live at the same address?
Required
Student's Primary Street Address
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Student's Primary Town, State and Zip (e.g. Dover, MA 02030)
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Student's Secondary Street Address
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Student's Secondary Town, State and Zip (e.g. Dover, MA 02030)
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Student's Primary Home Phone Number
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Student's Secondary Home Phone Number
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First Parent's Cell Phone Number
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Second Parent's Cell Phone Number
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Does your child have any allergies?
Required
If yes, please describe the allergies and severity.
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Is there anything you would like to tell us about your child to help ensure that she/he has a successful experience in Sunday School?
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