2010-2011 Registration Form

Child's Name:
Birth Date:
Allergies or Health Problems:

FAITH ZONE
Sunday morning, 9 a.m. beginning Sunday, Sept. 12
  Enroll Child In:
Children aged 3 through 4K should enroll in the preschool class and all others in their school grade.

Children should report to Fellowship Hall each Sunday. At 9 a.m., the classes will move to the Faith Zone. Children may be picked up at 10 a.m. in the Faith Zone.


PARENT INFORMATION
Fathers Name:
Home Phone:
Daytime Phone:
Cell Phone:
Address:


  I would like to be involved in the Faith Zone
If not a member, would you be interested in joining St. John’s?
Mothers Name:
Home Phone:
Daytime Phone:
Cell Phone:
Address:
    I would like to be involved in the Faith Zone
If not a member, would you be interested in joining St. John’s?



Child lives with:
I prefer to receive: MailEmail
It should be sent to:
Email Address(es):
Photo Permission:



Your child may be photographed and those photos may be used in worship or publicity unless you specifiy that no photos be used.

No photos may be used