St. Barnabas Sunday School Registration Form

Child’s Name: _____________________________________________________

Parent’s Name: _____________________________________________________

Address: _____________________________________________________

Street

__________________________ ___________ _____________

City State Zip

Home Phone: __________________________

E-mail: __________________________

Child’s Information:

Birthday: _____________________

School Attending 2006/2007 School Year: ____________________________________

Grade 2006/2007 School Year: ____________

Any siblings also attending Sunday School? Please list: __________________________

_______________________________________________________________________

Emergency Contact Information:

Name: __________________________ Relationship: ______________________

Phone: __________________________

Any Allergies? YES / NO If yes, please specify: __________________________

___________________________________________________________________

Thank you!

We’re looking forward to a wonderful Sunday School Year with your child!