Tunkhannock United Methodist Church Sunday School Registration
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Child's First Name *
Child's Last Name *
Child's Date of Birth *
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/
DD
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Child's Age *
Child's Grade (Entering 2023-2024 school year) *
Child's Address *
Mother's Name *
Mother's Phone Number *
Father's Name *
Father's Phone Number *
Email Address *
Siblings that are also attending Sunday School
Allergies or any other health concerns *
Emergency Contact #1 - Name *
Emergency Contact #1 - Phone Number
*
Emergency Contact #1 - Relation to child
*
Emergency Contact #2 - Name
Emergency Contact #2 - Phone Number
Emergency Contact #2 - Relation to child
Name of person(s), other than parents, permitted to pick up child and their relationship to child.  *
Parent/Guardian Signature
In the event of a medical emergency, and TUMC is unable to reach my child’s contacts, TUMC has my permission to seek medical attention for my child. Please type parent/guardian name below.

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