Yearly Registration

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

Optional

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:

Optional

Allergies

Optional

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.

Yes No

Comments:

Optional

Description

starts Sept. 12

Please fill out one per child to register Sunday School.

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