St. Paul's UMC Sunday School Registration
Sunday August 20 - Thursday August 24
6:00 PM - 8:15 PM
74 Church Street
Thorofare, NJ

Contact: Elaine Luoma
609-220-0561
stpaulsumcsundayschool@gmail.com

Email address
Parent/Guardian First Name
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Parent/Guardian Last Name
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Phone Number
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Home Address
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City
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State
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Zip
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Home Church
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Parent/Guardian 2 First and Last Name
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Emergency Contact First and Last Name
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Emergency Contact Phone Number
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Emergency Contact Relation
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Name of First Child First and Last
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Date of Birth First Child
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Grade in School Completed First Child
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Allergies First Child
Please list any allergies or medical conditions you feel are relevant for us to know.
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Name of Second Child First and Last
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Date of Birth Second Child
MM
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DD
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YYYY
Grade in School Completed Second Child
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Allergies Second Child
Please list any allergies or medical conditions you feel are relevant for us to know.
Your answer
Name of Third Child First and Last
Your answer
Date of Birth Third Child
MM
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DD
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YYYY
Grade in School Completed Third Child
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Name of Fourth Child First and Last
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Allergies Third
Please list any allergies or medical conditions you feel are relevant for us to know.
Your answer
Date of Birth Fourth Child
MM
/
DD
/
YYYY
Grade in School Completed Fourth Child
Your answer
Allergies Fourth
Please list any allergies or medical conditions you feel are relevant for us to know.
Your answer
We take pictures at events to use for publicity on the website, instagram, facebook and other social media. Do you give permission to use pictures of your child for this purpose?
Name of Person who told you about VBS, if applicable
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Comments or Additional Information - Please list any additional children in the comments.
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