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2015 - 2016 Children Sunday School Registration Form
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* Indicates required question
Name (English)
*
(Given Name, Surname)
Your answer
Address
*
Please specify: House #, Street, District (Scarborough, Markham, Thornhill etc)
Your answer
Telephone
*
###-###-####
Your answer
Email address
*
Your answer
Name of Emergency Contact
*
Your answer
Please specify Emergency Contact's relationship to child
*
Your answer
Emergency Contact Number
*
###-###-####
Your answer
Date of Birth
*
(YYYY/MM/DD)
Your answer
Age
*
Your answer
Sex
*
M or F
Your answer
Grade
*
Please specify the Grade your child attends during day school.
Your answer
For Grade 3 and up: Do you allow your child to leave by themselves following the scheduled program?
Yes
No
Clear selection
Medical Concerns (i.e. allergies or medication)
*
If your child needs medical attention or assistance, please be specific as to what symptoms to look for and procedures to follow
Your answer
Health Care Number
Your answer
Father's Name
*
Your answer
Does the father attend church regularly?
If yes, please specify church name and congregation, if applicable
Your answer
Mother's Name
*
Your answer
Does the mother attend church regularly?
If yes, please specify church name and congregation, if applicable
Your answer
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