Sunday School Registration -- 2017-2018 school year
Please provide clear, complete and up-to-date information to register your child(ren) for Sammamish Mosque's Sunday School. Pay particular attention to your and your spouse's contact information and emergency medical information. That will be used in case of any medical emergency.
Child #1's full name *
Your answer
Child #1's age *
Your answer
Child #2's full name
Your answer
Child #2's age
Your answer
Child #3's full name
Your answer
Child #3's age
Your answer
Father's full name *
Your answer
Father's email address *
Your answer
Father's phone number *
(to contact you in case of emergency)
Your answer
Mother's full name *
Your answer
Mother's email address *
Your answer
Mother's phone number *
(to contact you in case of emergency)
Your answer
Home address (street, state, zip) *
Your answer
Emergency Contact phone number
Your answer
Any allergies, medications or special instructions that we should be aware of? *
If yes, please provide detail (item your child is allergic to, any medications, pediatrician's name and contact info, etc.)
Your answer
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