River Kids Sunday School Registration Form

River Kids Sunday School Registration Form
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Food Allergies*

NoYes
If yes explain
Medical Concerns*

NoYes
If yes explain
Parent/Guardian Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Email
example@example.com
Phone*
Other Authorized Adults for Pickup
Emergency Contact*

First NameLast Name
Emergency Contact Number*
Relationship to Child
Should be Empty: