St. John the Divine Sunday School
Student Registration
Name of Student
First Name
Last Name
Parent Phone Number
Format: (000) 000-0000.
Parent Email
example@example.com
Student's Birthday
-
Month
-
Day
Year
Date
What school does the student attend?
Student's Grade Level
Preschool
2nd through 5th grade
6th through 8th grade
High School
Adult
Student Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
List any known allergies for the student.
Emergency Contact
First Name
Last Name
Emergency Contact Phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Publicity Release - I grant permission to use my child's image and likeness in the parish's publications and social media channels.
Yes
No
I am willing to volunteer to help with the following:
Teaching or Assisting with Sunday School
Providing Snacks
Christmas Pageant
Other/Special Event
Is there anything else we need to know to help serve you and your family
Submit
Should be Empty: