Child's Name_________________________________________________ 

Child's Nickname______________________________________________

Parent or Guardian's Name______________________________________

Address_____________________________________________________

E-mail Address_______________________________________________

Home Phone Number __________________________________________ 

Child's Date of Birth____________________________________________ 

Child's Current Grade in School___________________________________

Is child baptized?   Yes   No     Date of Baptism_______________________ 

Is child confirmed?   Yes   No     Date of Confirmation___________________ 

Does your child have allergies or any other medical conditions that we should 
be aware of?   Yes   No      If yes, please explain ______________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

Does your child have any special needs or special skills that we should be       
aware of?   Yes   No      If yes, please explain _________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

I will help with the Sunday School program by: (please circle)                              
- making phone calls                                                                                         
- helping with a special event                                                                           
- playing a musical instrument                                                                          
- teaching or helping to teach a class                                                              
- photographing Sunday School events                                                          
- other - please tell us what your gift us __________________________

Please return the completed registration form to the parish office.