Sonshine School Registration

Mother's Name *

Mother's Name

First Name

Last Name

Mother's Occupation *

Father's Name *

Father's Name

First Name

Last Name

Father's Occupation

Does your family attend church? If so, where?

Contact Information

Main Contact's Phone Number *

Main Contact's Phone Number

(###)

###

####

Main Contact's Email Address *

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Information

Child's Name *

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Child's Current Age

Please list any allergies your child has or other problems we should be aware of.

Emergency contacts

#1 Emergency Contact's Name & Relationship to the Chld *

#1 Emergency Contact's Phone *

#1 Emergency Contact's Phone

(###)

###

####

#2 Emergency Contact's Name & Relationship to the Child *

#2 Emergency Contact's Phone *

#2 Emergency Contact's Phone

(###)

###

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Sonshine School Registration

MEMBERS SECTION