Sunday School Registration | St. Paul's Glenside

School Year(Required)

Parent/Guardian Information

Name of Parent/Guardian(Required)

First Last

Address of Parent/Guardian(Required)

Street Address Address Line 2 City State ZIP Code

Phone number of Parent/Guardian(Required)

Email of Parent/Guardian(Required)

Enter Email Confirm Email

Would you like to enter information for a second parent/guardian?(Required)

Yes

Name of Second Parent/Guardian(Required)

First Last

Address of Second Parent/Guardian

Street Address Address Line 2 City State ZIP Code

Phone number of Second Parent/Guardian

Email of Second Parent/Guardian

Enter Email Confirm Email

Emergency Contact Name(Required)

First Last

Phone(Required)

Child Information

Name of Child(Required)

First Last

Gender of Child(Required)

Male

Female

Other

Date of birth of child(Required)

MM slash DD slash YYYY

Grade in School this Fall(Required)

Does your child have any allergies?(Required)

Yes

Please describe all allergies

Does your child have any special needs?(Required)

Yes

Please describe special needs

Anything else you would like to tell us about your child?

Would you like to register another child?(Required)

Yes

Second Child Information

Name of Second Child(Required)

First Last

Gender of Second Child(Required)

Male

Female

Other

Date of birth of second child

MM slash DD slash YYYY

Grade in School for this Fall (Second Child)(Required)

Does your child have any allergies? (second child registration)(Required)

Yes

Please describe all allergies (second child registration)

Does your child have any special needs? (second child registration)(Required)

Yes

Please describe special needs (second child registration)

Anything else you would like to tell us about your child? (second child registration)

Would you like to register a third child?(Required)

Yes

Third Child Information

Name of Third Child(Required)

First Last

Gender of Third Child(Required)

Male

Female

Other

Date of birth(Required)

MM slash DD slash YYYY

Grade in School this Fall (Third Child)(Required)

Does your child have any allergies? (third child registration)(Required)

Yes

Please describe all allergies (third child registration)

Does your child have any special needs? (third child registration)(Required)

Yes

Please describe special needs (third child registration)

Anything else you would like to tell us about your child? (third child registration)

Would you like to register a fourth child?(Required)

Yes

Fourth Child Information

Name of Fourth Child(Required)

First Last

Gender of Fourth Child(Required)

Male

Female

Other

Date of Birth(Required)

MM slash DD slash YYYY

Grade in School this Fall (Fourth Child)(Required)

Does your child have any allergies? (fourth child registration)(Required)

Yes

Please describe all allergies (fourth child registration)

Does your child have any special needs? (fourth child registration)(Required)

Yes

Please describe special needs (fourth child registration)

Anything else you would like to tell us about your child? (fourth child registration)

Consent for photo use

I grant St. Paul's Lutheran Church permission to use Pictures/Videos taken during Sunday school for Sunday school promotional purposes and on the church website. Individuals in the images will not be identified.

Date of Form Submission

MM slash DD slash YYYY

Phone

This field is for validation purposes and should be left unchanged.