Sunday School Registration

You may now register your child for Sunday School online, or you can download the form to print and hand in.

(Please fill out a new form for each child)
All boxes must be filled in for proper submission

Child's name:
Age:
Current grade (2008-2009 school year):
Date of birth:
Date of baptism:	Check if not baptized.

Mother's name:
Address:
Home Phone:
Cell:
Email Address:
Church Affiliation:
Church Membership:

Father's name:
Address:	Check if same as above. If not, please list below.
Home Phone:
Cell:
Email Address:
Church Affiliation:
Church Membership:

Emergency contact person:
Emergency contact phone number:
Relationship to student:
Food allergies or other medical problems:
Family doctor:
Doctor's phone number:
Siblings attending Sunday School (names & ages):
You can call Mom for help as a:	Teacher Substitute teacher
You can call Dad for help as a:	Teacher Substitute teacher
I give permission that my child’s picture may be taken and used in the church newsletter or in the local newspaper.	Yes No
(All boxes must be filled in for proper submission)

For more information about our church and its programs, please call us at 815-895-4477 or e-mail us at office@stjohnsycamore.org