ST. JOHN ELC SUNDAY SCHOOL REGISTRATION FORM (Close any Banners then just click your printer icon or KEY "Alt P" to print this form)

Full Name of Child:

Age:

Date of Birth:     /     /

Grade:  Pre-K   K   1   2   3   4  5   6   7   8   9   10   11   12

Names of Parents:

!

Street Address:

City                                                                      State                                    Zip Code

Home Phone Number:   (      )      -

Name of Child's School:

Child's Baptism Date:      /      /

Child's 1st Communion Date:      /      /

Does your child have any special needs, i.e.; allergies,which we may need to consider? If so please explain.   Yes       No

!

Do you anticipate your child participating in Wednesday Discovery?       YES        No    Confirmation?      YES       No

Household Email:

Full Name of Child:

Age:

Date of Birth:      /      /

Grade:  Pre-K   K   1   2   3   4  5   6   7   8   9   10   11   12

Names of Parents:

!

Street Address:

City                                                                      State                                    Zip Code

Home Phone Number:   (      )      -

Name of Child's School:

Child's Baptism Date:      /      /

Child's 1st Communion Date:      /      /

Does your child have any special needs, i.e.; allergies,which we may need to consider? If so please explain.    Yes     No

!

Do you anticipate your child participating in Wednesday Discovery?       YES       No      Confirmation?         YES      No

Household Email:

Full Name of Child:

Age:

Date of Birth:      /      /

Grade:  Pre-K   K   1   2   3   4  5   6   7   8   9   10   11   12

Names of Parents:

!

Street Address:

City                                                                      State                                    Zip Code

Home Phone Number:   (      )      -

Name of Child's School:

Child's Baptism Date:      /      /

Child's 1st Communion Date:      /      /

Does your child have any special needs, i.e.; allergies,which we may need to consider? If so please explain.   Yes        No

!

Do you anticipate your child participating in Wednesday Discovery?      YES      No             Confirmation?     YES     No

Household Email:

Please do not cut this page. Either mail it to the church office or drop into the registration box at church.