Child's Name:

Address:

Phone Number:

Child's Birth Date:

Grade in School For 2007-2008 School Year:

Parent/Guardian Names:

Do you want your child to wait to be picked up by you after Sunday School?

Yes

No

Does your child have any allergies or medical conditions that we need to know about?

Yes

No

Areas in which you would like to assist in Sunday School: Sunday School Teacher Classroom Helper (Teacher Assistant) Substitute Teacher Musicals Other

If other,

None