SUNDAY SCHOOL REGISTRATION FORM

Name

Birthdate

Street Address

City, State, Zip

Home Phone

Cell Phone

Email Address

Parent(s) Name(s)

In case of emegency, contact

Allergies or other medical conditions

School grade just completed:

I hereby (Please choose one)

GRANT

DO NOT GRANT

Permission for Chapel on the Hill to use pictures of my child on their website for informational or promotional purposes.

Signify your electronic parental signature by entering your full name below

Thank you for registering your chilld for Sunday School. If you have any questions, please call the Chapel Office: 262.245.9122