Additional parent/guardian phone number (if applicable)
Your answer
PARENT/GUARDIAN email address *
Your answer
STUDENT's BIRTHDATE (month, day, year of birth) *
MM
/
DD
/
YYYY
Is this STUDENT baptized?
Clear selection
Is this STUDENT confirmed?
Clear selection
STUDENT Medical conditions/needs/diagnoses to note (please put "none" if none) *
Your answer
STUDENT Allergies (please put "none" if none) *
Your answer
Any other special needs for which we need to support the STUDENT (please put "none" if none) *
Your answer
If you would like to meet with your student's teacher or the Sunday School Superintendent in regards to your child's specific needs so we can plan for supports, please mark YES. If not or it is not applicable to you, mark NO. *