St. Mark's United Methodist Church


1431 West Magee Rd., Tucson, AZ. 85704 - 520.297.2062 - fax 520.297.1058

Sunday School Registration
2011-2012

Name of student
Nickname
Address
Zip
Parent(s) / Guardian(s) name(s)
Phone number (day)
Phone number (evening)
Email address(es)
Name of student's school
Age of student
Student's grade level
Sibling(s) names & ages

I give permission for my child's photo to be used during special events that are shown in the church newsletter and/or on video at church functions.	Yes No
I understand that the St. Mark's UMC Covenant Council has adopted a Safe Sanctuaries Policy. I am willing to help in my child's classroom, if needed. I will complete the required volunteer information papers.	Yes No

Health, Special Needs and Emergency Information
Allergies / Special Needs
Person to contact in case of emergency
Emergency Contact's Phone
If this person cannot be reached, contact:
Additional Contact's Phone

Form completed by
Date form completed

For additional information, please contact our church office at 520.297.2062 or e-mail us.