The Dover Church Sunday School and Teddy Bear Nursery Registration 2018 - 2019
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Grade in 2018-2019 *
Required
School Your Child Attends *
Your answer
First Parent's Last Name *
Your answer
First Parent's First Name *
Your answer
Second Parent's Last Name *
Your answer
Second Parent's First Name *
Your answer
First Parent's Email Address *
Your answer
Second Parent's Email Address *
Your answer
Do both parents live at the same address? *
Required
Child's Primary Street Address *
Your answer
Child's Primary Town, State and Zip (e.g. Dover, MA 02030) *
Your answer
Child's Secondary Street Address
Your answer
Child's Secondary Town, State and Zip (e.g. Dover, MA 02030)
Your answer
Child's Primary Home Phone Number *
Your answer
Child's Secondary Home Phone Number
Your answer
First Parent's Cell Phone Number *
Your answer
Second Parent's Cell Phone Number *
Your answer
Does your child have any allergies? *
Required
If yes, please describe the allergies and severity.
Your answer
Is there anything you would like to tell us about your child to help ensure that she/he has a successful experience in Sunday School?
Your answer
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