St. Barnabas Sunday School & Youth Registration
Please Complete one (1) form per child per year. This year we are using one form for Sunday School (Pre-K to Grade 5) and Youth Group (Grade 6-12)

Note that all personal or contact information will be used only for Sunday School or Youth Group communications and will not be shared

Information about Your Child
Last Name *
Your answer
First Name *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Grade *
Child's Email (Not Parent's) If Applicable
Your answer
Child's Mobile Phone (Not Parent's) If Applicable
Your answer
Does Child Read?
Allergies
Your answer
Information about the child's parent(s) or guardian(s)
Parent/Guardian 1 First Name *
Your answer
Parent/Guardian 1 Last Name *
Your answer
Parent/Guardian 1 Email *
Your answer
Parent/Guardian 1 Phone
Your answer
Parent/Guardian 2 First Name
Your answer
Parent/Guardian 2 Last Name
Your answer
Parent/Guardian 2 Relationship
Your answer
Parent/Guardian 2 Email
Your answer
Parent/Guardian 2 Phone
Your answer
Street Address *
Your answer
City or Town *
Your answer
ZIP Code *
Your answer
Is there anything the teachers should know about your child's behavior, learning style, or personality?
Your answer
Other Information
Other Special Needs or Health Concerns:
Your answer
Please check any of the following that you are willing to help with:
I give permission to photograph or video my child and display images in the church's building, church's Web site, local newspaper, etc.: *
Date *
Your answer
Submit
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