Sunday School Registration

Rally Day is September 13th! Come on out for our Sunday School Kick-off!

* Required fields
Name *
E-mail Address *
Address *
City, State *
Zip Code *
Home Phone Number *
Phone Number #2
Name of Child #1
Birthdate of Child #1 *
School and Grade Level
Medical Conditions/Allergies * Yes
No
If yes, please explain
Name of Child #2
Birthdate of Child #2
School and Grade Level
Medical Conditions/Allergies Yes
No
If yes, please explain
Name of Child #3
Birthdate of Child #3
School and Grade Level
Medical Conditions/Allergies Yes
No
If yes, please explain
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1605 Vernon Avenue
Park Ridge, IL 60068
p 847.823.6984           f 847.823.6996

PastorLynne@messiahparkridge.org

Office@messiahparkridge.org