Sunday School Registration Form
Service Times: 8:00 AM and 10:30 AM ~~ Contemporary Worship: 1st and 3rd Sundays at 10:30 AM
4 Northcrest Dr Clifton Park, New York 12065-2714 - Phone: 518.371.2226

SUNDAY SCHOOL REGISTRATION FORM

hbar 2

PARENT/GUARDIAN INFORMATION


Name of Parent/Guardian
Name of Parent/Guardian2
Address
Relationship to Child(ren)
Relationship to Child(ren)2
Primary Phone
-
Phone Type:
E-mail:*
Cell
-
Cell2
-
Communication Preference*
button_123

(If N/A, leave this section blank)
CAREGIVER INFORMATION --People who bring children to Sunday School that are NOT a parent or guardian

Caregiver Name:
Caregiver Address
If Sunday School needs to call or send e-mail regarding Sunday School Information, contact:
Caregiver's Relationship to Child(ren)
Caregiver's Primary Phone
-
Phone Type
Caregiver's Cell
-
Caregiver's E-mail

EMERGENCY CONTACT INFORMATION (If unable to contact parents/guardian or caregiver)


Contact Name:
1st Emergency Contact Number:
-
2nd Emergency Contact Number: (If desired)
-
Contact's Relationship to Child(ren)
1 - This is:
2 - This is:

CHILD 1 INFORMATION


Child 1 - Name:
Child 1 - Grade
Child 1 - DOB
1 - Does this child have any Allergies?
1 - Allergies
1 - Does this child have any Special Health Conditions we should be aware of?
1 - Special Health Conditions
1 - Does this child have any needs related to Disabilities we should be aware of?
1 - Disabilities
1 - Are there any specific activity restrictions for this child?
1 - Restrictions

CHILD 2 INFORMATION


Child 2 - Name:
Child 2 - Grade
Child 2 - DOB
2 - Does this child have any Allergies?
2 - Allergies
2 - Does this child have any Special Health Conditions we should be aware of?
2 - Special Health Conditions
2 - Does this child have any needs related to Disabilities we should be aware of?
2 - Disabilities
2 - Are there any specific activity restrictions for this child?
2 - Restrictions

CHILD 3 INFORMATION


Child 3 - Name:
Child 3 - Grade
Child 3 - DOB
3 - Does this child have any Allergies?
3 - Allergies
3 - Does this child have any Special Health Conditions we should be aware of?
3 - Special Health Conditions
3 - Does this child have any needs related to Disabilities we should be aware of?
3 - Disabilities
3 - Are there any specific activity restrictions for this child?
3 - Restrictions

SUBMIT FORM


reCAPTCHA v2