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St. John UCC Sunday School Registration
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Registration for the 2021-2022 Church School Year
Student's Name (First & Last)
*
Your answer
Home Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Student's Email Address
Your answer
Student's Cell Phone
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Current Grade
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Choose
3PK
4PK
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Parent's or Guardian's Name
*
Your answer
Parent's Email Address
*
Your answer
Parent's Phone Number
*
Your answer
Allergy or Health Concerns
Your answer
Any other information you feel may be helpful (diagnoses, medications, etc.)
Your answer
I give permission for my child to b photographed at church functions and for the photographs to be used to promote Sunday School activities on the website and/or on Facebook.
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