2014 - 2015 SUNDAY SCHOOL REGISTRATION FORM

PARENT/GUARDIAN INFORMATION


Name 1
Name 2
Address
Relationship to Child 1
Relationship to Child 2
Home Phone
-
E-mail:*
Mobile 1
-
Mobile 2
-
Communication Preference*

FOR CAREGIVERS BRINGING CHILDREN OTHER THAN PARENTS OR GUARDIANS  (If N/A, leave this section blank)


Name 3
Address 3
If Sunday School needs to call or send e-mail regarding Sunday School Information, contact:
Relationship to Child 3
Home Phone 3
-
Mobile 3
-
E-mail 3

EMERGENCY CONTACT INFORMATION


Contact Name
1st Emergency Contact Number:
-
2nd Emergency Contact Number:
-
Relationship
1 - This is:
2 - This is:

CHILD 1 INFORMATION


Name #1
Grade #1
DOB #1
1 - Does your child have any Allergies?
1 - Does your child have any Special Health Conditions we should be aware of?
1 - Does your child have any needs related to Disabilities we should be aware of?
1 - Are there any specific activity restrictions for your child?
1 - Allergies
1 - Special Health Conditions
1 - Disabilities
1 - Restrictions

CHILD 2 INFORMATION


Name #2
Grade #2
DOB #2
2 - Does your child have any Allergies?
2 - Does your child have any Special Health Conditions we should be aware of?
2 - Does your child have any needs related to Disabilities we should be aware of?
2 - Are there any specific activity restrictions for your child?
2 - Allergies
2 - Special Health Conditions
2 - Disabilities
2 - Restrictions

CHILD 3 INFORMATION


Name #3
Grade #3
DOB #3
3 - Does your child have any Allergies?
3 - Does your child have any Special Health Conditions we should be aware of?
3 - Does your child have any needs related to Disabilities we should be aware of?
3 - Are there any specific activity restrictions for your child?
3 - Allergies
3 - Special Health Conditions
3 - Disabilities
3 - Restrictions

SUBMIT FORM


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