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St. John’s Episcopal Church School / Baby Care

Registration Form for Program Year 2009  -  2010


   
 

 

Registration (Complete the form below and submit) *denotes required fields

  
Father’s Information:    
Name, first, last
Occupation
Address
Town
State
Zip Code
Home Phone
Family Email Address*

 
Mother’s Information:  
Name, first, last
Occupation
Address
Town
State
Zip Code
Home Phone
Email

 

Photo/Publicity Release:  I give my permission to use my child(ren)’s name, photo, or voice in either media publications, St. John’s website, or in church publications to help promote events and programs at St. John’s Episcopal Church in Ramsey. Should I feel otherwise at any time in the future, I will notify the Church School.

Agree
   
  Children Who Will Be Attending St. John’s Church School
Child’s Name*
Nickname
 



Date of Birth, Age ,
Grade
Baptised location
Confirmed, Church/Location /
Special Needs
   
Child’s Name
Nickname
 



Date of Birth, Age ,
Grade
Baptised location
Confirmed, Church/Location /
Special Needs
   
Child’s Name
Nickname
 



Date of Birth, Age ,
Grade
Baptised location
Confirmed, Church/Location /
Special Needs
   
Child’s Name
Nickname
 



Date of Birth, Age ,
Grade
Baptised location
Confirmed, Church/Location /
Special Needs



Comments
   

 
Click "submit" once to send  
   
  If you do not receive a one-page “Registration Received” page after you hit submit,
please call Ellen Joyce at 201-327-0703
   

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 
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