Sunday School Student Registration Form September 2007 May 2008 Sundays at 9:30 AM 3 year-olds 12th grade
* = Required Field
Childs Name Age and Birth date Grade in Sept. 2007 (for Pre-K, please indicate the year your child plans to enter Kindergarten) Medical Concerns
Contact Information Parent / Guardians *         Home Phone * Address *         Cell Phone City *   Zip   Other Phone E-mail Address *   Any adult who is NOT permitted to pick up your child(ren)   Emergency Contact *         Relationship *   In the event you cannot be reached in a serious medical emergency, please provide:   Doctor Name & Phone * Hospital Preference *