Congregation for Humanistic Judaism 2009-10 Sunday School Registration Form Parents Names: _____________________________________________________________________ Home Address _____________________________________________________________________ Home Phone:___________________ Cell Phone: ___________________ Email Address: __________________________________________________ Emergency Contact:_________________________________________________ Relationship:____________________________ Phone:____________________
Other Children At Home (names, DOB): ___________________________________ __________________________________ ___________________________________ __________________________________ Please also fill out the Sunday School Medical Release Form and Return Completed forms to: Philip Garrison-Treasurer, 47 Partrick Road, Westport, CT 06880 |
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