Register for Sunday School

Child’s First Name

Child’s Last Name

Birth Date

Age/Grade

Allergies/ Medical concerns/ special needs

Mother/Guardian name

Mother Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Father/Guardian name

Father Phone

Emergency contact: First and Last Name and relationship:

Contact Number

Parent/guardian Insurance Group Name

Group number

Phone

ID#

If your child/ren is 10 or younger, Authorized Adults Allowed to pick up child/ren listed is/are:

Please click checkbox if

I give permission for my child/ren to have their photo taken.

If no Allergy concerns are present and if a snack is given to eat at Sunday School.

I give permission for my child/ren to have their photo placed on Social Media/website.

Select a date

Thanks for submitting!