Yearly Registration '21-'22 School Year

starts Sept. 12 | Please fill out one per child to register Sunday School.

Child Information

Child's Name

*

Grade

*

Please select one option.

No Grade Pre-Kindergarten Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Graduated

Age

*

Parent/Guardian Information

Parent/Guardian 1

*

Parent/Guardian 2

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Emergency Information

Doctor's Name

*

Doctor's Phone

*

Emergency Contact's Name

*

Emergency Contact's Phone

*

Emergency Contact's Address

*

Hospital Preference

*

Health Information

Please List any Special Medical Conditions:

Allergies

Last Tetnus Shot (DTaP for younger children):

*

Other

I consent to allow FPCSS to take and use pictures or videos of my child. These photos may be posted on the website as a recap of the event or for promotion of future VBS events. No names will be used.

Photos

*

Please select all that apply.

Photos NO Photos

Comments:

Description

starts Sept. 12

Please fill out one per child to register Sunday School.

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