Sunday School/Confirmation Registration Form

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    Child's Name:
    Child's Grade (Fall of '17):
    Choose Sunday School Class:
    Child's Birthdate:
    Parent(s) Name(s):
    Parent Phone:
    Emergency Contact:
    Emergency Contact Phone:
    Food Allergies, Special Needs:
    Parent/Guardian Medical Authorization
    Photo Release Agreement
    Parental/Guardian Release Section
    Address (Street, City, Zip Code)
    Parent Email:
    Home Phone:
    Work Phone:
    Cell Phone:
    Health Insurance Company
    Health Insurance Group Number
    Health Insurance Personal ID Number
    Name of Parent who provides Health Insurance
    Ways I Would Like To Help:
    Message

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