SUNDAY SCHOOL & NURSERY REGISTRATION Form

For September 2023 - 2024

Child Information

First Name*

Last Name*

Birthdate of Child:*

Grade Level in September 2022 (or age is preschool):*

Allergies:

Does the child carry an epipen?*

Yes

Any information pertaining to your child that would be helpful for us to know

Parent / Guardian Information

Name of a Parent (First & Last):*

Phone*

Email Address*

Name of other Parent (First & Last):

Phone Number 2:

Email #2:

Address*

City*

State/Province*

Zip/Postal Code*

Photos: I Grant Permission for the reasonable use of pictures containing my child in any or all of the following ways:

Brochures (Promotional Materials)

Newsletters

Church Service (Live-streamed on YouTube)

Website

NO PHOTOS Please

South Shore Church

Church Office Hours: Tuesday - Friday 9:00am -5:00pm
Church Phone # : (705) 752-5971
Pastor Simon Beadle's Home Phone # : (705) 752-9994
Church Address: 1892 Hwy 654 W, Callander Ontario P0H 1H0
Email: southshoreemc@gmail.com

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