Sunday School Registration Form

Sunday School Registration Form

School Year 2025 / 2026
Information received in this form is confidential and is being gathered for the purpose of serving your child, while in the care of The Change Community Church, during our Sunday School Program. Any medical information collected here serves to authorize The Change Community Church, and its staff and volunteers, to obtain medical assistance in emergencies.
In the case of custody agreements, please include the proper form authorizing Parental contacts.
Participant's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Primary Parent/Guardian Contact*

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.
Secondary Parent/Guardian Contact

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Primary Emergency Contact*

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.
Secondary Emergency Contact

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.
Health Card Number
Name of Physician / Family Doctor

First NameLast Name
Preferred Medical Facility
Phone Number
Please enter a valid phone number.
Any Allergies or Medical Conditions?*

YesNo
If Yes, please give details including any required treatment or medication.
Does you child have any physical, emotional, mental, behavioural concerns or limitation that staff should be aware of?*

YesNo
If Yes, please explain.
Do you have any additional comments or information about your child that you would want the volunteers or staff to be aware of?
The safety of your child is our primary concern. Precautions will be taken for their well-being and protection.

Sunday School Registration Form

The safety of your child is our primary concern. Precautions will be taken for their well-being and protection.

Declaration & Consent