EmailMe Form - Sunday School Registration Form

Name of Parents / Guardian

First Last

Primary Phone

### - ### - ####

2nd Phone

### - ### - ####

Email

2nd Email

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Checkbox

I give permission for my child (chrildren) photo to be taken and used on the website or on posters that are displayed without identification.

Child #1 Name

First Last

Birth Date

MM / DD / YYYY

Baptized

Yes

No

Baptismal Birth date:

MM / DD / YYYY

Allergies, medical needs, etc.
Anything your child's teacher needs to know to meet your child's needs?

Child #2 Name

First Last

Birth Date

MM / DD / YYYY

Baptized

Yes

No

Baptismal Birth date:

MM / DD / YYYY

Allergies, medical needs, etc.
Anything your child's teacher needs to know to meet your child's needs?

Child #3 Name

First Last

Birth Date

MM / DD / YYYY

Baptized

Yes

No

Baptismal Birth date:

MM / DD / YYYY

Allergies, medical needs, etc.
Anything your child's teacher needs to know to meet your child's needs?

You may also speak confidentially with Alexia Arensmeier, Sunday School Superintendent, about any concerns you may have, AlexiaAren@sbcglobal.net or home phone 636.282.0027