FUMCHY Sunday School Registration Form

FUMCHY Sunday School Registration Form

PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD REGISTERED.
Child's Name *

First Name Last Name
Primary Parent Contact's Name *

First Name Last Name
Primary Contact's Email Address *
Primary Contact Phone Number *

Area Code Phone Number
Additional Adult Authorized to Pick Up your Child

First Name Last Name
Secondary Email Address
Secondary Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Child's Date of Birth *

Month Day Year
Any Allergies?
Child's Grade in School *
Any special needs or concerns you would like to share regarding your child?
Should be Empty: