St. Paul's Sunday School Registration Form
147 Park Ave., Amityville, NY 11701 631-264-0763 - Any questions talk to Cindy or email me at cindyatstpaulsamityville@hotmail.com - Sundays 9:00-9:45 am
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
Grade in School
Is your child baptized: yes or no
Home #
-
Area Code
Phone Number
Cell #
-
Area Code
Phone Number
Emergency #
-
Area Code
Phone Number
Email
example@example.com
Allergies/Medical Concerns
Parents attend church at:
Church members: yes or no
Child attend Sunday School before: yes or no
I hereby Give Permission for photographs and/or video in which my child appears in to be used by the church in printed and/or electronic media, including the church's website and Facebook page.
Signature
Submit
Should be Empty: