2010-2011

                                SUNDAY SCHOOL REGISTRATION FORM

(Please Print)

Parents’ Name(s): _________________ _________________ ____________________

(Last) (Father) (Mother)

Address: _______________________________________________________________

(Street)

_________________________________ ______ ___________

(City) (State) (Zip)

Telephone No.: ( ) Cell Phone_______________________

E-Mail Address: _____________________________________

1. Child’s Name: _______________________________________________________________

Age ____________________ Date of Birth ______________________

School Grade ___________ School ____________________________

(as of 9/09)

Special needs or interests _______________________________________

________________________________________________________________

2. Child’s Name: _______________________________________________________________

Age ____________________ Date of Birth ______________________

School Grade ___________ School ____________________________

(as of 9/09)

Special needs or interests _______________________________________

________________________________________________________________

3. Child’s Name: _______________________________________________________________

Age ____________________ Date of Birth ______________________

School Grade ___________ School ____________________________

(as of 9/09)

Special needs or interests _______________________________________

________________________________________________________________

If additional listings are necessary, please staple an extra page to this sheet.

If photos are taken of your children) during youth events, may we place them on the church web site?

Yes _________ No _________