Sunday School Registration Form

Please submit a form for each child you would like to register.

Sunday School Registration

Child Information

Child's Name*

Child's Age*

Date of Birth*

Child's Grade

Child's School

I authorize publication of my child's photograph via newspaper, web, or other publication*

Yes

Any Allergies or Medical Conditions?*

Yes

If yes, please give details

Do you want to add any additional information about your child?

Parent/Guardian Information

Parent/Guardian Name*

Parent Guardian Email*

Parent/Guardian Cell Phone*( ) -

Parent Guardian Name

Parent/Guardian Email

Parent Guardian Cell Phone( ) -

Home Address*

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone( ) -

Relationship

I, undersigned, agree with the following statements:*

I am the parent/guardian of the child indicated above

If emergency medical care is needed and I am unavailable, I authorize the supervising teacher to seek medical treatment for my child.

Please leave this field blank.