Contact Information
CCUCC Sunday School Registration  
Student Name: *
Student Date of Birth:
MM
/
DD
/
YYYY
Student Grade & School Attending:
Student Phone Number:
Student Email:
#2 Student Name:
#2 Student Date of Birth:
MM
/
DD
/
YYYY
#2 Student Grade & School Attending:
#2 Student Phone Number:
#2 Student Email:
#3 Student Name:
#3 Student Date of Birth:

#3 Student Grade & School Attending:
#3 Student Phone Number:
#3 Student Email:
#4 Student Name:
#4 Student Date of Birth:
#4 Student Grade & School Attending:
#4 Student Phone Number:
#4 Student Email:
List any food allergies for each child:
List any special needs that may limit participation in Sunday School for each child:
List any additional information for each child that we may need to know. *
Can pictures of your child/ren be posted on social media?
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