Sunday Church School Registration

Please complete and submit prior to children attending Sunday school.

Student Name * First Last
Sex * Female Male
Date of Birth * / MM / DD YYYY
Age *
Student Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Please enter the address you would like Sunday school mailings to go to.
School: *
Grade: *
Home Phone * - (###) - ### ####
Parent/Guardian 1 Name * First Last
Parent/Guardian 1 Email *
Parent/Guardian 1 Cell Phone * - (###) - ### ####
Parent/Guardian 2 Name First Last
Parent/Guardian 2 Email
Parent/Guardian 2 Cell Phone - (###) - ### ####
Please list other adults your child may be released from classes and/or events with:
Please list anyone your child may not be released from classes and/or events:
Emergency Contact: Please list someone we may contact in an emergency if we can not reach the listed parents/guardians. * First Last
Emergency Contact Phone # * - (###) - ### ####
Relationship to Child: *
Please list any allergies your child has.
Please list any medications your child takes.
Please list any medical conditions your child has.
Has your child been baptized? Yes No
Has your child received First Communion instruction? Yes No
Has your child been confirmed? Yes No
What is your church affiliation? *