Agape Christian Church Sunday School Registration 2017 - 2018
What is the first name of your student ? *
Your answer
What is the last name of your student ? *
Your answer
What is the student's date of birth ? *
Your answer
As of September 2017, what grade will your student be in? *
Your answer
What grade/room will your student be attending at Agape? Please select one of the following. *
Student's Gender *
What type of school does your student attend? *
Allergy Statement: On occasion, Agape Christian Church serves food that contains: peanuts, tree nuts (including coconut), dairy products, eggs, soy, wheat, crustaceans, fish. *
Mother's first name. *
Your answer
Mother's last name. *
Your answer
Father's first name.
Your answer
Father's last name.
Your answer
Mother's Telephone Number. *
Your answer
Father's Telephone Number.
Your answer
Home Address *
Your answer
Email *
Your answer
Does your student have a Bible that he or she can bring to church every Sunday? First Grade and older only. *
Registration Fee - Suggested Donation - $10 Per Student
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