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Use your back button to return to
the Education Page.
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SUNDAY SCHOOL REGISTRATION FORM 2011/12
-Please complete a separate form for each child-
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Student's full name
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Date of Birth
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Current Grade and name of School
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Age
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Address
(Street, City, zip code)
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Parent/ Guardian #1 Name
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Address if different
(Street, City, zip code)
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Email address Parent/
Guardian #1
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Phone Numbers:
Home, Work, Cell
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Parent/Guardian #2
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Address if different f
(Street, City, zip code)
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Email address
Parent/Guardian #2
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Parent Church
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Emergency Contact Name
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Emergency Phone
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Student's allergies or important medical
information
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May Student leave when class is over
(sixth grade and older only) Please
enter yes or no. If yes, you will be
contacted to provide a signed copy of
this form.
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Dismissal Information - Name(s)
of Person(s) who may pick up the
Student
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Student is interested in:
Children's Choir, Youth Fellowship, Acolyte,
Bible Bearer, Youth Choir.
Enter any applicable interests
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Please provide Student's
siblings name and age.
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Please indicate if Student as been Baptised
and/or Confirmed and name of church.
If you would like information on Baptism
and/or Confirmation please indicate so.
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Student's outside interests:
Is the student involved in
scouting, music, etc?
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Anything else we should know? Use this space for any information about
the Student or if you are interested in volunteer opportunities for
Parents/Guardians (Baking, Teaching, Arts/Crafts, Reading, Classroom
Helper, Pageants/VBS, Mailings or anything else!
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PLEASE COMPLETE AND THEN CLICK THE SUBMIT BUTTON.
You will receive a confirmation that your email was submitted.
To go back to the website, click your Back button . To cancel
before submitting the form, hit Reset to clear all fields. and hit
any page button to continue.
Thank you!
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