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Education - Church School Registration

Church School Registration
Date:
 

 

Student Name:

  

M

F
 

Last

First

Middle Initial

Please circle

 

Address:

  
 

Street

City

State

Zip Code

 
         

Home Phone

  

Birth Date

  

Age

 
E-mail Address:  

 
Mother:  
 

Name

Address

Phone

 
Father:  
 

Name

Address

Phone

 
Other:  
Guardian (Relative) Name

Address

Phone

 
 

Allergies or other conditions which may limit activities

 
 

Names of persons that should not have contact with this child.

 

 

9:30 AM

11:00 AM (Touch of God only)

Sunday School classes your child will most likely attend (Please Circle)

 

 
 

Area of the church the parent or guardian will most likely be during the Sunday School hour.