Sunday School Registration - Delavan UCC
Name: *
Your answer
Birth Date: *
MM
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DD
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YYYY
Age: *
Your answer
Grade in School This Year (2019-2020): *
Your answer
Allergies, Medical Information, or Other Concerns:
Your answer
Address: *
Your answer
Phone Number (Home):
Your answer
Phone Number (Cell):
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Phone Number (Other):
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Email Address:
Your answer
Parent(s)/Guardian(s) Name(s):
Your answer
Emergency Contact - Primary (Name & Phone Number): *
Your answer
Emergency Contact - Secondary (Name & Phone Number): *
Your answer
Do you give consent for pictures or images of your child taken during class or church programs/events to be shared on our social media and promotional materials? *
Do you give consent for your child to go on walking field trips? *
Is there anything that would be helpful for our teachers to know in order for your child to feel comfortable and welcome in our learning environment?
Your answer
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