Sunday School Registration
Father First & Last Name*
Mother First & Last Name*
Home/Primary Phone #*
Father Cell Phone
Mother Cell Phone
Street Address, City, Zipcode*
Alternate Street Address, City Zipcode
Email Address
Alternate Email Address
Child #1
Full Name*
Child #1
(MM/DD/YYYY) Birthdate *
Child #1
Enrollment Grade In Fall*
Child #2
Full Name
Child #2
(MM/DD/YYYY) Birthdate
Child #2
Enrollment Grade In Fall
Child #3
Full Name
Child #3
(MM/DD/YYYY) Birthdate
Child #3
Enrollment Grade In Fall
Child #4
Full Name
Child #4
(MM/DD/YYYY) Birthdate
Child #4
Enrollment Grade In Fall
Allergies/Medical Conditions
(Please specify child and list any information we should be aware of)
Home Church Affilitation
(Church Name & City)
(Please specify if different for any household members.)
Check box to permit
St. John's leaders to photograph/film the minor(s) registered above in any manner or form for any lawful purpose with the Sunday School program.
Please check all that apply
 I would like a visit from the Pastor
 I would like information about St. John's Church
 I would like information about St. John's School
Email Registration Receipt To


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