Second Presbyterian Church

2010 - 2011 Sunday School Registration Form
Christian Education begins on September 19 at 10 a.m. in Smith Hall

E-mail Address: *
Parent Name *
Parent Name
Address *
City *
State *
Zip *
Cell Phone
Home Phone *
Work Phone
Child Name *
Age *
Birthdate *
Grade in September *
School Your Child Attends *
Does your child have any allergies? If yes, please specify
Has your child received a
Spark Story Bible
Spark Bible NRSV
Neither
Child Name
Age
Birthdate
Grade in September
School Your Child Attends
Does your child have any allergies? If yes, please specify
Has your child received a
Spark Story Bible
Spark Bible NRSV
Neither
Child Name
Age
Birthdate
Grade in September
School Your Child Attends
Does your child have any allergies? If yes, please specify
Has your child received a
Spark Story Bible
Spark Bible NRSV
Neither
Child Name
Age
Birthdate
Grade in September
School Your Child Attends
Does your child have any allergies? If yes, please specify
Has your child received a
Spark Story Bible
Spark Bible NRSV
Neither
I give permission to Second Presbyterian Church to use photos of my child(ren) in all print and Web publications, as appropriate. *
Yes
No

* Required