St. Paul's United Methodist Church
Saturday, May 19, 2012

Sunday School Registration

 
Sunday School Kick-off September 11th!
Classes Start Sunday, September 18th!!
 
Please register here:
 
Child #1 Name                                                                      Age          Date of Birth            Grade
                               
Child #2 Name                                                                      Age          Date of Birth            Grade
                               
Child #3 Name                                                                      Age           Date of Birth           Grade
                               
Child #4 Name                                                                      Age           Date of Birth           Grade
                               
 
Parent Name
 
 
Street Address

City                                           State                     Zip Code
                  

Home Phone                           Cell Phone                              
      
 E-Mail

Would you be willing to help in some capacity with the Sunday school program?
Yes   No

Emergency Contact (other than above) 
Name      
                                                      
Phone

Allergies or other medical information

 
 
Pediatrician or Family Physician:Phone #
 
 
I, the undersigned parent or guardian, do hereby authorize emergency medical, dental, health or hospital services be rendered to my child(ren) upon consent of a St. Paul’s staff member or designated volunteer. The purpose of this authorization is to permit my child(ren) to receive emergency medical attention when needed while involved in the activities connected with St. Paul’s United Methodist Church Children's programs when I or my emergency contact is unavailable to give such consent. This authorization shall be effective from September, 2011 until September, 2012.
  
Agree   Do Not Agree
 
Note: Clicking the Submit Registration Form button will automatically notify SPUMC of registration.  Please submit only once to avoid duplicates.  Thank you for registering!!!