Sunday School Registration
2016-2017 School Year
Parent's Name
Your answer
Parent's phone number
Your answer
Home Address
Your answer
Email Address
Your answer
Emergency Contact
please provide name and phone number-- other than parent listed above
Your answer
Child's Name
Your answer
Child's Birthdate
MM
/
DD
/
YYYY
Child's Grade in School
Any allergies or medical concerns we need to know about?
Your answer
Child 2 Name
Your answer
Child 2 Birthdate
MM
/
DD
/
YYYY
Child 2 Grade in School
Any allergies or medical concerns we need to know about?
Your answer
Child 3 Name
Your answer
Child 3 Birthdate
MM
/
DD
/
YYYY
Child 3 Grade in school
Any allergies or medical concerns we need to know about?
Your answer
Child 4 Name
Your answer
Child 4 Birthdate
MM
/
DD
/
YYYY
Child 4 Grade in School
Any allergies or medical concerns we need to know about?
Your answer
Any other important information you would like us to know?
Your answer
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