Sunday School Registration 
To register you child (ren) for Still Waters 2009-2010 Sunday School please fill out the form below. This form should be used for Children Age 3 (September 1st) Through 6th Grade. When entering Child's Name, please begin with the youngest child first.

Family Last Name:
Home Phone:
Address:
City:
State:
Zip Code:
Mother's Name:
Mother's Cell Phone:
Mother's Email Address:
Can children receive email at Mother's address?
Father's Name:
Father's Cell Phone:
Father's Email Address:
Can children receive email at Father's address?
Emergency Contact Name:
Emerg. Contact Home Phone
Emerg. Contact Cell Phone:
Relationship to Family:
Service generally attended?
1- Child's Name
Male
Female
1- Date of Birth:
1- Age (on Sept. 1st):
1- Grade:
1- Allergies or Medical Conditions:
2- Child's Name
Male
Female
2- Date of Birth:
2- Age (on Sept. 1st)
2- Grade:
2- Allergies or Medical Conditions:
3- Child's Name:
Male
Female
3- Date of Birth:
3- Age (on Sept. 1st)
3- Grade
3- Allergies or Medical Conditions:
4- Child's Name:
Male
Female
4- Date of Birth:
4- Age (on Sept. 1st):
4- Grade:
4- Allergies or Medical Condition:
Any addtional information we should know?
Security code:
 *
Do not enter anything in this field:
* indicates a required field