Church School Registration Form

Child/Children's Name(s) Birth Date Grade in School
First (Nickname) Last Month/Day/Year Fall 2007
* * * *
Parent's name *
Address *
Telephone home *

Office
email
Parent's name
Address
Telephone home

Office
email
Which email?** Parent 1

Parent 2
Which mail address? Parent 1

Parent 2
Is there anything you would like us to know about your child?
Do any of your children have allergies to specific foods or bee stings?

*Required fields
**Please be sure to include an e-mail address. We are planning to set up a family list for occasional announcements pertaining to the Sunday school program. Thank you.